Individual
ANGELA SEVERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, CSCS
Contact information
Practice address
50 W 34TH ST APT 16A14, NEW YORK, NY 10001-3086
(215) 606-7590
Mailing address
50 W 34TH ST APT 16A14, NEW YORK, NY 10001-3086
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT006058
—
Other
Enumeration date
04/06/2020
Last updated
04/06/2020
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