Individual
AMY GROVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
5823 WIDEWATERS PKWY, EAST SYRACUSE, NY 13057-3084
(315) 418-4007
Mailing address
7089 JONES RD, SYRACUSE, NY 13209-9702
(607) 342-2473
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002115
NY
Other
Enumeration date
09/03/2008
Last updated
12/28/2023
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