Individual
GABRIELLE WHITLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
7312 MUSICAL WAY, SEVERN, MD 21144-1157
(410) 371-4520
Mailing address
7312 MUSICAL WAY, SEVERN, MD 21144-1157
(410) 371-4520
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0001087
MD
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2017
Last updated
08/08/2022
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