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Individual

BRAELEEN FERRITER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3901 LAC DE VILLE BLVD, ROCHESTER, NY 14618
(585) 490-4070
Mailing address
1085 WICKERTON LN, WEBSTER, NY 14580-8541
(585) 315-7945

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002625
NY

Other

Enumeration date
05/31/2019
Last updated
08/01/2023
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