JASON WENTWORTH

BROCKPORT, NY
NPI1689173932
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2018-02-01
Last Update Date2018-02-01
Business Address
JASON WENTWORTH ATC, CSCS
40 ALLEN ST
BROCKPORT, NY 14420
Phone number: 585-637-5303
Mailing Address
JASON WENTWORTH ATC, CSCS
40 ALLEN ST
BROCKPORT, NY 14420-2228
Phone number: