Individual
MRS. DEBRA ANDRUSCHKEVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
575 FOX RUN RD, WOODBURY, NJ 08096-4242
(856) 232-2713
Mailing address
110 MALCOLM AVE, WENONAH, NJ 08090-1611
(856) 464-8685
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00050600
NJ
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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