Individual
MISS STEPHANIE LOSCHIAVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.O.T.
Contact information
Practice address
28 COMPASS AVE, WEST MILFORD, NJ 07480-4826
(973) 617-7084
Mailing address
28 COMPASS AVE, WEST MILFORD, NJ 07480-4826
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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