Individual
MRS. INGRID MARY GRUTZMACHER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
5718 FAIRWOOD DR NW, ACWORTH, GA 30101-7840
(770) 528-0251
Mailing address
5718 FAIRWOOD DR NW, ACWORTH, GA 30101-7840
(770) 528-0251
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
03/09/2006
Last updated
07/08/2007
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