Individual
JULIA MARGARET FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1 JETS DR, FLORHAM PARK, NJ 07932-1215
(973) 549-4708
Mailing address
1 JETS DR, FLORHAM PARK, NJ 07932-1215
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00236600
NJ
Other
Enumeration date
05/15/2017
Last updated
05/15/2017
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