Individual
ALICIA M WISWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-3199
Mailing address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-3199
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
001544
NY
Other
Enumeration date
11/18/2009
Last updated
11/18/2009
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