Individual
MS. SHANNON TOMASULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
30 CHURCH LN, MANALAPAN HIGH SCHOOL, MANALAPAN, NJ 07726-3402
(732) 792-7200
Mailing address
400 WILLOW ST, LAKEHURST, NJ 08733-2530
(732) 657-3673
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00098600
NJ
Other
Enumeration date
07/02/2006
Last updated
07/08/2007
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