Gillian Basedow, ATC Valid NPI
Individual provider · Athletic Trainer · Vestal, NY
- NPI
- 1508324955
- Type
- Individual (Type 1)
- Primary specialty
- Athletic Trainer (Specialist/Technologist)
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 2255A2300X
- License number
- 004370 (NY)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2019-03-05
- Last updated
- 2024-01-10
Practice location
4433 Vestal Pkwy E Fl 2
Vestal, NY 13850-3556
(973) 803-0471