Individual
JULIE ANN PRUSOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT
Contact information
Practice address
9309 DEWEY RD, KIRTLAND, OH 44094-5173
(216) 402-3495
Mailing address
9309 DEWEY RD, KIRTLAND, OH 44094-5173
(440) 729-7055
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-001330
OH
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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