Individual
CYNTHIA K DORMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1 NORMAL AVENUE, INTERCOLLEGIATE ATHLETICS, MONTCLAIR, NJ 07043-1624
(201) 953-1045
Mailing address
251 WISCASSET RD, HIGHLAND LAKES, NJ 07422-9102
(201) 953-1045
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00047500
NJ
Other
Enumeration date
06/19/2021
Last updated
06/19/2021
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