Individual
JULIE IEMMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, AT, ROT, OPE-C
Contact information
Practice address
5800 COOPER FOSTER PARK RD W, LORAIN, OH 44053-4131
(440) 258-5285
Mailing address
6855 VELVET HORN, LORAIN, OH 44053-4354
(440) 258-5285
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-002021
OH
Other
Enumeration date
12/20/2018
Last updated
12/20/2018
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