Individual
MISS DEBORAH JEAN ANKELEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A.,M.S., ATC
Contact information
Practice address
94 BROWN AVE, PROSPECT PARK, NJ 07508-2018
(973) 790-7909
(973) 790-3536
Mailing address
11 MAINES LN, HARDWICK, NJ 07825-9617
(201) 281-9138
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00075100
NJ
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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