Individual
NICOLE WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
57 UPPER PROSPECT RD, ATLANTIC HIGHLANDS, NJ 07716-1732
(732) 204-2692
Mailing address
57 UPPER PROSPECT RD, ATLANTIC HIGHLANDS, NJ 07716-1732
(732) 204-2692
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000701-1
NY
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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