Individual
MS. ASHLEY PAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
622 EAGLE ROCK AVE, WEST ORANGE, NJ 07052-2994
(973) 669-0078
Mailing address
47 ECHO PL, ELMWOOD PARK, NJ 07407-2401
(201) 956-0877
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00224700
NJ
2255A2300X
Athletic Trainer
AT002722
GA
Other
Enumeration date
04/06/2016
Last updated
09/01/2016
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