Individual
MS. KIMBERLY VICARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS/ATC
Contact information
Practice address
4001 GRANT AVE, PHILADELPHIA, PA 19114-2900
(856) 308-9939
Mailing address
239 BUCK RD, PITTSGROVE, NJ 08318-2016
(856) 308-9939
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
PA
Other
Enumeration date
09/01/2009
Last updated
09/01/2009
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