Organization
FULL STRIDE WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER COOK ATC, LAT (OWNER)
(410) 833-0503
Entity
Organization
Contact information
Practice address
100 BUSINESS CENTER DR, REISTERSTOWN, MD 21136-1229
(410) 833-0503
Mailing address
100 BUSINESS CENTER DR, REISTERSTOWN, MD 21136-1229
(410) 833-0503
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DX3643
MD
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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