Individual
ROBERT CARL OMALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
43 DOGWOOD RD, WILLIAMSVILLE, NY 14221-4633
(716) 634-1085
Mailing address
43 DOGWOOD RD, WILLIAMSVILLE, NY 14221-4633
(716) 634-1085
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001410
NY
Other
Enumeration date
02/28/2006
Last updated
04/20/2009
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