Individual
KRISTEN LEIGH BARTISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, CPT
Contact information
Practice address
80 LOCK STREET, NEWARK, NJ 07102
(973) 596-8295
Mailing address
15 ALPINE DR, KINNELON, NJ 07405-2903
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
8776948-4810
UT
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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