Individual
SOPHIA JOSEPHINE TESTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
80 EATON ST, MORRISVILLE, NY 13408-7705
(315) 684-6893
Mailing address
4847 PEMBROKE DR, MANLIUS, NY 13104-2114
(315) 418-2098
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
004796
NY
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/10/2021
Last updated
10/11/2024
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