Individual
MARIE LYNN PETTITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
355 ADAM ST, TONAWANDA, NY 14150-1903
(716) 957-2674
Mailing address
111 N MAPLEMERE RD, BUFFALO, NY 14221-3181
(716) 957-2674
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/17/2020
Last updated
01/22/2025
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