Individual
MARIA DO VALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
738 KENWOOD DR, OLYPHANT, PA 18447-1318
(774) 204-1649
Mailing address
133 LACEY ST, WEST CHESTER, PA 19382-3731
(774) 204-1649
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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