Individual
AUSTIN PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
6314 HOUGH RD, CONESUS, NY 14435-9616
(585) 478-6500
Mailing address
4577 MORGAN VIEW RD, GENESEO, NY 14454-9428
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002584-1
NY
Other
Enumeration date
11/12/2013
Last updated
11/12/2013
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