Individual
CASEY WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10263 FOURTH ARMORED DIVISION DR, FORT DRUM, NY 13602
(315) 772-3524
Mailing address
31417 COUNTY ROUTE 179, CHAUMONT, NY 13622-2309
(315) 777-2444
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
114987
IA
Other
Enumeration date
10/04/2020
Last updated
08/03/2022
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