Individual
MS. APRIL FORSAITH VILLACRUSIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
18 AGASSIZ CIRCLE, ATTN: ATHLETICS DEPT., BUFFALO, NY 14214
(716) 400-5513
Mailing address
18 AGASSIZ CIR, BUFFALO, NY 14214-2601
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000005113
NY
Other
Enumeration date
08/24/2018
Last updated
12/03/2019
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