Daniel Charles Zmitrovich, ATC
Specialist/Technologist, Athletic Trainer in Fairfield, OH. Individual provider (NPI-1).
NPI number1679793103
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1679793103
- Entity type
- Individual (NPI-1)
- Name
- Daniel Charles Zmitrovich
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 26, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AT 002372 | OH | Yes |
Practice location
3050 Mack RdSuite 330
Fairfield, OH 45014-5379
Phone 513-942-3999
Mailing address
4592 Snowbird DrLiberty Twp, OH 45011-7289
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