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Individual

AMANDA MARISA BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS ATC CSCS PES

Contact information

Practice address
110 8TH ST, AS & RC - ATHLETICS, TROY, NY 12180-3522
(518) 276-6730
Mailing address
110 8TH ST, AS & RC - ATHLETICS, TROY, NY 12180-3522
(518) 276-6730

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
080202255
NY

Other

Enumeration date
07/01/2008
Last updated
07/01/2008
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