Individual
MR. TIMOTHY ROBERT LENGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, ATC
Contact information
Practice address
2083 LAWRENCEVILLE RD, LAWRENCEVILLE, NJ 08648-3001
(609) 896-5052
(609) 896-5086
Mailing address
402 GREENWAY AVE, EWING, NJ 08618-2756
(609) 434-0108
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00071900
NJ
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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