Individual
MRS. LISA MARIE MCNERNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
490 WASHINGTON AVE, WESTWOOD, NJ 07675-1906
(201) 666-6499
(201) 664-5141
Mailing address
490 WASHINGTON AVE, WESTWOOD, NJ 07675-1906
(201) 666-6499
(201) 664-5141
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00050800
NJ
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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