Individual
JESSICA VERONICA FITTIPALDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
170 PAULISON AVE, PASSAIC, NJ 07055-4810
(862) 377-5427
Mailing address
255 W HIGH ST, BOUND BROOK, NJ 08805-1658
(732) 447-8851
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00216100
NJ
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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