Organization
TACTICAL ATHLETIC TRAINING INSTITUTE
Active
Other names
Tactical Athletic Training
Organization subpart
No
Provider details
NPI number
Authorized official
DYLAN ZERA-KRUSHINSKI ATC (CLINIC MANAGER)
(732) 794-3892
Entity
Organization
Contact information
Practice address
200 CENTENNIAL AVE, PISCATAWAY, NJ 08854-3950
(732) 794-3892
Mailing address
38 TUNISON RD, NEW BRUNSWICK, NJ 08901-1633
(732) 794-3892
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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