Individual
MISS PATRICIA LYNN GUNDLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., A.T.C
Contact information
Practice address
5030 STATE HIGHWAY 30, AMSTERDAM, NY 12010-7534
(518) 841-3406
Mailing address
44 MARION BLVD, SCOTIA, NY 12302-2602
(518) 393-3334
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000358-1
NY
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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