Individual
DANIELLE MASI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2000 CLAYTON STATE BLVD, MORROW, GA 30260-1250
(678) 466-4688
Mailing address
530 W 15TH ST, HAMMONTON, NJ 08037-8636
(609) 204-8727
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT003513
GA
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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