Individual
MS. ELISE FITZSIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9 LAKER HALL, OSWEGO, NY 13126
(315) 312-2941
Mailing address
9 LAKER HALL, OSWEGO, NY 13126
(315) 312-2941
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
100602016
NY
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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