Individual
PAUL HOUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS ATC
Contact information
Practice address
6318 FREMONT RD, EAST SYRACUSE, NY 13057-9435
(315) 434-3050
Mailing address
6318 FREMONT RD, EAST SYRACUSE, NY 13057-9435
(315) 434-3050
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
120402227
NY
Other
Enumeration date
11/03/2016
Last updated
11/03/2016
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