Individual
ELIZABETH FIORETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
8322 BELLONA AVE, TOWSON, MD 21204-2065
(410) 828-4876
Mailing address
6342 GREEN FIELD RD, ELKRIDGE, MD 21075-5258
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0000765
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000021917
BOC FOR ATHLETIC TRAINERS
MD
01
—
A0000765
MARYLAND BOARD OF PHYSICIANS
MD
Enumeration date
08/06/2015
Last updated
08/06/2015
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