Individual
LORI DEWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDD, ATC, MCHES
Contact information
Practice address
9563 WEDGE WAY, DELMAR, MD 21875-2377
(443) 880-0394
Mailing address
9563 WEDGE WAY, DELMAR, MD 21875-2377
(443) 880-0394
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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