Individual
CAITLIN SHELBY O'MARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27 WOODS AVE, EAST ROCKAWAY, NY 11518-1146
(516) 474-4687
Mailing address
27 WOODS AVE, EAST ROCKAWAY, NY 11518-1146
(516) 474-4687
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/01/2019
Last updated
03/02/2020
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