Individual
VICTORIA ELIZABETH SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED, ATC, LAT
Contact information
Practice address
775 PENNSYLVANIA AVE, ELMIRA, NY 14904-2235
(757) 647-1485
Mailing address
775 PENNSYLVANIA AVE, ELMIRA, NY 14904-2235
(757) 647-1485
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003415-1
NY
2255A2300X
Athletic Trainer
RT007228
PA
Other
Enumeration date
04/28/2016
Last updated
06/13/2019
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