Individual
MS. JILL WALKER DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
303 W WATER ST, ELMIRA, NY 14901-2914
(607) 737-1393
(607) 737-0775
Mailing address
303 W WATER ST, ELMIRA, NY 14901-2914
(607) 737-1393
(607) 737-0775
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000004
NY
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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