Individual
MRS. BETH ABBOTT PELLETIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
605 MAIN ST, HACKENSACK, NJ 07601-5914
(201) 488-0488
Mailing address
103 BOWERS ST FL 1, JERSEY CITY, NJ 07307-2007
(609) 425-3200
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004941
PA
Other
Enumeration date
06/16/2019
Last updated
06/16/2019
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