Mia Puopolo, LAT, ATC
NPI #1609227263 in Forest Hill, Maryland
Provider Information
- NPI Number
- 1609227263
- Entity Type
- Individual
- Name
- Mia Puopolo, LAT, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- LAT, ATC
- Enumeration Date
- Jun 24, 2016
- Last Updated
- Jun 24, 2016
Practice Location
- Address
- 1906 BEAR CREEK DR
- City
- Forest Hill
- State
- Maryland
- ZIP Code
- 21050-2736
- Phone
- (443) 567-1183
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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