NPI 1033946082

Grace Wang

Practitioner Athletic Trainer Ithaca, NY

Practice location

Address: 953 Danby Rd, Ithaca, NY 14850-7002
Phone: (607) 274-1456
Mailing address: 5134 Worthington Dr, Bethesda, MD 20816-2730

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

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Registry record

NPI: 1033946082
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Sep 2024
Record last updated: 16 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.