Individual
MRS. NICOLE M RAKOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
100 BEHMER RD., PISCATAWAY, NJ 08854
(732) 981-0700
Mailing address
102 BIRCHWOOD RD, BEDMINSTER, NJ 07921-1907
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00105800
NJ
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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