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Individual

MS. MARIA ROSANELLI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC/L

Contact information

Practice address
1250 W BELT LINE RD, RICHARDSON, TX 75080-5850
(469) 593-3105
Mailing address
16400 LEDGEMONT LN APT 803, ADDISON, TX 75001-5904
(972) 979-8266

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
090702146
TX
2255A2300X
Athletic Trainer
Primary
AT3691
TX

Other

Enumeration date
10/17/2014
Last updated
10/17/2014
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