Jacob Audia

NPI #1710438833 in Waynesville, Ohio

Provider Information

NPI Number: 1710438833
Entity Type: Individual
Name: Jacob Audia
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Oct 24, 2016
Last Updated: Oct 24, 2016

Practice Location

Address: 488 PRESTON DR
City: Waynesville
State: Ohio
ZIP Code: 45068-8413
Phone: (937) 269-6715

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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