Individual
KAITLYN CLEGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
34 PARSONS RD, LINCOLN PARK, NJ 07035-1232
(973) 464-7959
Mailing address
34 PARSONS RD, LINCOLN PARK, NJ 07035-1232
(973) 464-7959
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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