Individual
EMILY GRISWOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AT
Contact information
Practice address
363 RICHLAND AVE, APT 206, ATHENS, OH 45701-3210
(248) 765-6114
Mailing address
363 RICHLAND AVE, APT 206, ATHENS, OH 45701-3210
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
004738
OH
Other
Enumeration date
08/06/2015
Last updated
08/06/2015
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