Individual
MISS LAURA M HANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.T.,C.
Contact information
Practice address
2540 SHERIDAN DR, TONAWANDA, NY 14150-9410
(716) 862-0567
Mailing address
44 LASALLE AVE, KENMORE, NY 14217-2628
(716) 874-1236
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000697-1
NY
Other
Enumeration date
10/27/2006
Last updated
07/08/2007
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