Individual
MRS. MICHELLE ELYSE COPOLO-ZIEMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4380 MAIN ST, AMHERST, NY 14226-3592
(716) 839-8581
Mailing address
79 FOXCROFT DR, HAMBURG, NY 14075-4618
(304) 972-3555
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002615-1
NY
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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