Individual
BROOKE VIOLET MACKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2610 SPRUCE ST, POINT PLEASANT BORO, NJ 08742-3670
(732) 779-5217
Mailing address
2610 SPRUCE ST, POINT PLEASANT BORO, NJ 08742-3670
(732) 779-5217
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
NJ
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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