Individual
MRS. STEFANIE WAINWRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
11232 FALLS RD, BROOKLANDVILLE, MD 21022-1405
(410) 632-6323
Mailing address
PO BOX 8000, BROOKLANDVILLE, MD 21022-8000
(410) 632-6323
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0000074
MD
Other
Enumeration date
08/08/2014
Last updated
08/08/2014
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