Individual
BETH ELAINE ANANIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, B.S
Contact information
Practice address
41 MAIN ST, EAST BRUNSWICK, NJ 08816-4765
(732) 887-1958
Mailing address
41 MAIN ST, EAST BRUNSWICK, NJ 08816-4765
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000050340
ATHLETIC TRAINING CERTIFICATION
—
Enumeration date
02/15/2022
Last updated
02/15/2022
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