Individual
STEPHANIE KULOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
5332 E BASELINE RD, #2069, MESA, AZ 85206-4717
(920) 912-6755
Mailing address
5332 E BASELINE RD, #2069, MESA, AZ 85206-4717
(920) 912-6755
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1032
AZ
Other
Enumeration date
01/08/2013
Last updated
01/08/2013
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