Individual
MRS. TERESA ELIZABETH BORDIUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
400 CEDAR AVE., WEST LONG BRANCH, NJ 07764-1308
(732) 571-1634
Mailing address
1000 BROADWAY, WEST LONG BRANCH, NJ 07764-1308
(732) 571-1634
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00012700
NJ
Other
Enumeration date
12/29/2008
Last updated
12/29/2008
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