Individual
KIERA LINDGREN ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
520 OLD MOUNTAIN RD, PORT JERVIS, NY 12771-3257
(845) 313-3838
Mailing address
PO BOX 344, NEW HAMPTON, NY 10958-0344
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004860
PA
Other
Enumeration date
09/19/2010
Last updated
09/19/2010
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