Individual
PAULETTE RUTH ESTABROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS ATC
Contact information
Practice address
35 SILVERSTEIN RD, NINEVEH, NY 13813-1135
(607) 242-2962
Mailing address
35 SILVERSTEIN RD, NINEVEH, NY 13813-1135
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002273
NY
Other
Enumeration date
09/14/2017
Last updated
09/14/2017
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