Individual
KATELYNN JAGODZINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 LAURIE LN, SOUTH SALEM, NY 10590-1700
(845) 625-4614
Mailing address
12 LAURIE LN, SOUTH SALEM, NY 10590-1700
(845) 625-4614
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
000533
CT
2255A2300X
Athletic Trainer
Primary
001678-1
NY
Other
Enumeration date
02/11/2014
Last updated
02/11/2014
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