Individual
CARISSA ANNE O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 FRASIER AVE, JOHNSTOWN, NY 12095-3124
(518) 330-6243
Mailing address
3 FRASIER AVE, JOHNSTOWN, NY 12095-3124
(518) 330-6243
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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