Individual
GLORIA FUTHEY KRESTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
4117 STADIUM DRIVE, COLLEGE PARK, MD 20742-4765
(240) 825-5159
(877) 863-2802
Mailing address
2729 MERRILEE DR APT 535, FAIRFAX, VA 22031-4445
(803) 415-4262
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0001367
MD
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/09/2015
Last updated
03/01/2021
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