Individual
JENNIFER TESS FENWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
512 N CAMPUS, ITHACA, NY 14853-6007
(631) 204-7988
Mailing address
512 N CAMPUS, ITHACA, NY 14853-6007
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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