Individual
MRS. MELISSA LYN O'BRIEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
A.T.C.
Contact information
Practice address
1001 E 2ND ST, COUDERSPORT, PA 16915-8161
(814) 887-5214
Mailing address
PO BOX 34, CERES, NY 14721-0034
(585) 933-0058
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
000318-1
NY
2255A2300X
Athletic Trainer
Primary
RT002023A
PA
Other
Enumeration date
02/22/2006
Last updated
07/08/2007
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