Individual
MARLEIGH JO HALKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
7115 RIDGE AVE, EGG HARBOR TOWNSHIP, NJ 08234-5847
(609) 432-2724
Mailing address
7115 RIDGE AVE, EGG HARBOR TOWNSHIP, NJ 08234-5847
(609) 432-2724
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00178800
NJ
2255A2300X
Athletic Trainer
RT005095
PA
Other
Enumeration date
11/21/2013
Last updated
11/21/2013
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