MARLIE GABRIELLE DORISTON

PHILADELPHIA, PA
NPI1780157966
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
Additional Taxonomies2255A2300X Specialist/Technologist Athletic Trainer
(Licence: PA  RT007541)
Enumeration Date2019-01-09
Last Update Date2021-01-06
Business Address
MARLIE GABRIELLE DORISTON ATC
5231 LAURENS ST APT 2
PHILADELPHIA, PA 19144-4669
Phone number: 609-402-7615
Mailing Address
MARLIE GABRIELLE DORISTON ATC
5231 LAURENS ST APT 2
PHILADELPHIA, PA 19144-4669
Phone number: 609-402-7615