Individual
MALLORY ANN LORENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, AT
Contact information
Practice address
3975 EMBASSY PKWY, AKRON, OH 44333-8320
(330) 668-4040
Mailing address
8784 STATE ROUTE 44, RAVENNA, OH 44266-9785
(330) 802-1721
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT005388
OH
Other
Enumeration date
11/14/2016
Last updated
01/20/2020
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