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Individual

MRS. CAITLIN SHARMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., ATC, PTA

Contact information

Practice address
101 CARTER RD, GENEVA, NY 14456-1092
(315) 781-0402
Mailing address
196 NORTH ST, GENEVA, NY 14456-1651

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
014025
NY
2255A2300X
Athletic Trainer
002775
NY
2255A2300X
Athletic Trainer
Primary
002775-01
NY

Other

Enumeration date
01/13/2016
Last updated
02/15/2024
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