Individual
MS. DEIRDRE L THURSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
235 HARTFORD RD, MEDFORD, NJ 08055-4001
(609) 654-5111
Mailing address
3705 ELBERTA LN, MARLTON, NJ 08053-1349
(609) 820-0374
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00129900
NJ
Other
Enumeration date
04/10/2006
Last updated
08/10/2021
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