Individual
REBECCA DZIEKAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1 COLLEGE RD, GENESEE COMMUNITY COLLEGE, BATAVIA, NY 14020-9703
(585) 343-0055
Mailing address
10152 CREEK RD, PAVILION, NY 14525-9715
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000083-1
NY
Other
Enumeration date
06/19/2006
Last updated
07/08/2007
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