KATHLEEN GRINVALSKY

PORTLAND, ME
NPI1104279660
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ME  AT616)
Enumeration Date2016-07-20
Last Update Date2016-07-20
Business Address
-- KATHLEEN GRINVALSKY ATC
1265 WASHINGTON AVE
PORTLAND, ME 04103-3644
Phone number: 207-318-8788
Mailing Address
-- KATHLEEN GRINVALSKY ATC
1265 WASHINGTON AVE
PORTLAND, ME 04103-3644
Phone number: 207-318-8788
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