Individual
GINA MARIA DICROCCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
111 FRANKLIN HEALTH CMNS, FARMINGTON, ME 04938-6144
(207) 779-2621
(207) 779-2585
Mailing address
39 HIGH STREET, STRONG, ME 04983
(207) 491-1056
(207) 779-2585
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT84
ME
Other
Enumeration date
07/26/2005
Last updated
07/08/2007
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