Individual
SARAH MARY MISSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
417 BUCKINGHAM AVE # 2, SYRACUSE, NY 13210-3315
(607) 351-0076
Mailing address
417 BUCKINGHAM AVE # 2, SYRACUSE, NY 13210-3315
(607) 351-0076
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003708
NY
Other
Enumeration date
11/29/2016
Last updated
08/12/2019
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