Individual
NICOLE RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35 ARNOLD AVE, LATHAM, NY 12110-4503
(518) 258-4212
Mailing address
35 ARNOLD AVE, LATHAM, NY 12110-4503
(518) 258-4212
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
About Stedi
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