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Individual

ALEXANDRA ROQUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
210 MOUNTS CORNER DR, FREEHOLD, NJ 07728-2547
(732) 538-8561
Mailing address
1455 BROAD ST STE 250, BLOOMFIELD, NJ 07003-3066
(877) 532-7837

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00334400
NJ

Other

Enumeration date
11/24/2022
Last updated
03/13/2025
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