Allison Boll, MS, ATC

Individual provider Active NPI Athletic Trainer · College Park, MD

NPI 1487951331 · NPPES record last updated Feb 11, 2011

Key facts

NPI
1487951331
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
Practice address
379 Field House Dr
Gossett Football Team House
College Park, MD 20742-0001
Phone
(240) 417-1953
NPI assigned
Feb 11, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X Yes

Addresses

Primary practice location

379 Field House Dr
Gossett Football Team House
College Park, MD 20742-0001

Mailing address

8517 Potomac Ave
College Park, MD 20740-2510
Phone (630) 244-7708

Other providers in College Park, MD

All providers in College Park, MD · Athletic Trainer in Maryland

Sources for this page

Verify at the official NPI Registry.