Individual
RANDI M GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
75 EVELYN DR, MILLERSBURG, PA 17061-1258
(717) 692-4708
(717) 692-4715
Mailing address
75 EVELYN DR, MILLERSBURG, PA 17061-1258
(717) 692-4708
(717) 692-4715
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004506
PA
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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