Individual
ALLISON EGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
953 DANBY RD, ITHACA, NY 14850-7000
(607) 274-3011
Mailing address
19 DOGWOOD DR, WASHINGTON, NJ 07882-4214
(908) 763-6368
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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