Maynor Antonio Grijalva, MS, LAT, ATC Valid NPI

Individual provider · Athletic Trainer · Lynn, MA

NPI

1659038495

Type

Individual (Type 1)

Primary specialty

Athletic Trainer (Specialist/Technologist)

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

2255A2300X

License number

3877 (MA)

Sex

Male

Sole proprietor

No

Enumerated

2021-11-28

Last updated

2024-04-04