Individual
JOSHUA DURHAM DRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
240 RIVERSIDE DR, JOHNSON CITY, NY 13790-2732
(607) 798-9356
Mailing address
500 DENCARY LN APT C, ENDWELL, NY 13760-2365
(315) 409-6730
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
004189-01
NY
Other
Enumeration date
03/02/2021
Last updated
03/02/2021
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