Individual
JULIANNE LO GRASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
7165 MARSHALL CORNER RD, POMFRET, MD 20675-3047
(240) 682-6914
Mailing address
2795 TRUMPETER CT, WALDORF, MD 20601-2625
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0000883
MD
Other
Enumeration date
07/15/2017
Last updated
03/17/2018
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