Individual
MRS. KENDRA SAKAMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
155 W ROE BLVD, PATCHOGUE, NY 11772-2325
(631) 447-3330
Mailing address
155 W ROE BLVD, PATCHOGUE, NY 11772-2325
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001336-1
NY
Other
Enumeration date
07/17/2007
Last updated
07/17/2007
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