Individual
MARCELINA MARIE GRODHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
1972 CLARK AVE, ALLIANCE, OH 44601-3929
(330) 823-4668
Mailing address
76 W MAIN ST, SALINEVILLE, OH 43945-1081
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 002223
OH
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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