Taylor Elizabeth Gillette Dwyer, ATC
Specialist/Technologist, Athletic Trainer in Oneida, NY. Individual provider (NPI-1).
NPI number1629734603
StatusActive
Last updated in NPPESJun 18, 2022
Details
- NPI
- 1629734603
- Entity type
- Individual (NPI-1)
- Name
- Taylor Elizabeth Gillette Dwyer
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 13, 2021
- Certification date
- Jun 18, 2022
- Last updated
- Jun 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
357 Genesee St Ste 2Oneida, NY 13421-2658
Phone 518-409-2025
Mailing address
9717 Powell RdHolland Patent, NY 13354-4336
Phone 518-409-2025
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