Individual
TANYA M DARGUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC/LAT
Contact information
Practice address
529 HURFFVILLE CROSSKEYS RD, 11-12 WING, SEWELL, NJ 08080-2831
(856) 589-8500
(856) 259-8924
Mailing address
18 UPTON WAY, SEWELL, NJ 08080-3619
(856) 227-8812
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00026200
NJ
Other
Enumeration date
08/20/2005
Last updated
07/16/2013
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