Individual
DIANA KATHERINE BRONSCHIDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
159 DEXTER TER, TONAWANDA, NY 14150-4720
(516) 317-2597
Mailing address
159 DEXTER TER, TONAWANDA, NY 14150-4720
(516) 317-2597
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002517-1
NY
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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