Individual
MISS HEATHER ANN DENNISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
41 JACKSON VALLEY RD, WASHINGTON, NJ 07882-1037
(908) 689-3050
Mailing address
91 BROOKSIDE AVE, 3B, SOMERVILLE, NJ 08876-5619
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00162300
NJ
Other
Enumeration date
09/20/2010
Last updated
09/20/2010
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