Individual
DANIELLE JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
6 TENNY LN, CORNWALL, NY 12518-1914
(845) 641-2035
Mailing address
6 TENNY LN, CORNWALL, NY 12518-1914
(845) 641-2035
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002495
NY
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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