Individual
REBECCA LYNN IANNOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3 LENAPE DR, STANHOPE, NJ 07874-2005
(973) 747-9437
Mailing address
3 LENAPE DR, STANHOPE, NJ 07874-2005
(973) 747-9437
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-0918
MS
Other
Enumeration date
06/05/2020
Last updated
06/05/2020
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