Individual
ELIZABETH POTURALSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3513 BOWMAN ST FL 2, PHILADELPHIA, PA 19129-1510
(410) 353-5880
Mailing address
3513 BOWMAN ST FL 2, PHILADELPHIA, PA 19129-1510
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/20/2019
Last updated
01/20/2019
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