Individual
CASEY RANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 ROYAL LN, NORTHPORT, NY 11768-3332
(516) 369-4793
Mailing address
30 ROYAL LN, NORTHPORT, NY 11768-3332
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
2279E1000X
Educational Registered Respiratory Therapist
—
—
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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