Teresa Gruchacz MS, ATC, LAT

NPI 1265850879 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1265850879
Gender Female
Enumeration Date 04/01/2014
Last Updated 04/01/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
8800 CENTRE PARK DR
COLUMBIA MD, 21045, US
Phone (410) 884-6000
Fax
Business Location
9583 SEA SHADOW
COLUMBIA MD, 21046-2061, US
Phone (973) 224-0408
Fax
Toxanomy
Taxonomy Code 2255A2300X
License State Maryland
License Number A0000436
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According to our database, Miss Teresa Gruchacz MS, ATC, LAT NPI is 1265850879, taxonomy code is 2255A2300X and license number is A0000436, license state is located at Maryland. Teresa Gruchacz MS, ATC, LAT physically located at 8800 Centre Park Dr, Columbia MD, 21045. NPI Number Teresa Gruchacz MS, ATC, LAT has the Individual type.

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1265850879 NPI number is provided on an as is basis without warranty of any kind. 1265850879 is maintained by the National Plan & Provider Enumeration System. The contents of Teresa Gruchacz MS, ATC, LAT are for informational purposes only.