Individual
MISS EMILY MARIA GIORGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
2101 E COLISEUM BLVD STE 100, FORT WAYNE, IN 46805-1499
(260) 481-6656
Mailing address
4545 PIMLICO DR UNIT 201, FORT WAYNE, IN 46845-2091
(916) 822-1338
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36003054A
IN
Other
Enumeration date
06/21/2019
Last updated
06/21/2019
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