Individual
MIRANDA GARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
109 UNIVERSITY SQ, ERIE, PA 16541-0002
(814) 871-7000
Mailing address
151 WARREN RD, SUGAR GROVE, PA 16350-1553
(814) 706-2316
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/19/2021
Last updated
06/07/2023
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