Individual
MEGHAN JEAN WHITMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
5824 WIDEWATERS PKWY, EAST SYRACUSE, NY 13057-3072
(315) 380-3475
Mailing address
3137 HADLEY LN, BALDWINSVILLE, NY 13027-1713
(315) 436-9017
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002360-1
NY
Other
Enumeration date
02/21/2017
Last updated
01/15/2020
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