Individual
JESSICA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
953 DANBY RD, ITHACA, NY 14850-7000
(607) 274-1976
Mailing address
953 DANBY RD, G73 HILL CENTER, ITHACA, NY 14850
(607) 274-1976
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002641
NY
Other
Enumeration date
08/17/2017
Last updated
08/17/2017
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