Individual
JILLIAN AYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT, EMT-B
Contact information
Practice address
171 WHITE PLAINS RD, BRONXVILLE, NY 10708-1923
(914) 337-9300
(914) 395-4515
Mailing address
171 WHITE PLAINS RD, BRONXVILLE, NY 10708-1923
(914) 337-9300
(914) 395-4515
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003130-1
NY
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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