MS. Grew Grace Lott, ATC

NPI #1346714706 in Oak Harbor, Ohio

Provider Information

NPI Number: 1346714706
Entity Type: Individual
Name: MS. Grew Grace Lott, ATC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: ATC
Enumeration Date: Jan 17, 2019
Last Updated: Aug 12, 2022

Practice Location

Address: 12839 W PORTAGE RIVER SOUTH RD
City: Oak Harbor
State: Ohio
ZIP Code: 43449-9687
Phone: (419) 707-4481

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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