Individual
STEPHANIE KOWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED, ATC
Contact information
Practice address
198 COLLEGE HILL RD, CLINTON, NY 13323-1218
(315) 859-4767
(315) 859-4799
Mailing address
198 COLLEGE HILL RD, CLINTON, NY 13323-1218
(315) 859-4767
(315) 859-4799
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002152-1
NY
Other
Enumeration date
12/17/2014
Last updated
12/17/2014
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