Individual
MS. KATHERINE GLOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2001 MAIN ST, BUFFALO, NY 14208-1035
(716) 713-1927
Mailing address
173 MCKINLEY AVE, KENMORE, NY 14217-2462
(716) 713-1927
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001777
NY
Other
Enumeration date
08/31/2006
Last updated
12/12/2016
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