SARAH NIEDZWIECKI

BELLEVILLE, IL
NPI1245636646
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096.003836)
Enumeration Date2014-11-12
Last Update Date2015-06-09
Business Address
-- SARAH NIEDZWIECKI ATC
2600 W MAIN ST
BELLEVILLE, IL 62226-6651
Phone number: 618-239-6109
Mailing Address
-- SARAH NIEDZWIECKI ATC
5819 BRETT MICHAEL LN APARTMENT 11
BELLEVILLE, IL 62223-3966
Phone number: