Individual
ERIN REILLY GIANNOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4100 LAKE DR SE, GRAND RAPIDS, MI 49546-8292
(616) 267-8860
Mailing address
205B W WRIGHT AVE, SHEPHERD, MI 48883-2512
(586) 596-1638
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001321
MI
Other
Enumeration date
10/20/2014
Last updated
10/20/2014
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