Individual
MRS. MELISSA ANN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS ATC
Contact information
Practice address
120 ERIE CANAL DR, ROCHESTER, NY 14626-4607
(585) 225-6296
Mailing address
656 MORGAN RD, SCOTTSVILLE, NY 14546-9754
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001303-1
NY
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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