Individual
GWENDOLYN MURPHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
12 1/2 LYON PL, UTICA, NY 13502-6106
(315) 520-4059
Mailing address
12 1/2 LYON PL, UTICA, NY 13502-6106
(315) 520-4059
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
67 002971
NY
2255A2300X
Athletic Trainer
RT005202
PA
Other
Enumeration date
04/10/2014
Last updated
07/29/2016
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