Individual
MS. ERICA STEPHANIE SIMONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, OTC
Contact information
Practice address
504 VALLEY RD, SUITE 200, WAYNE, NJ 07470-3534
(973) 291-1980
(973) 694-2692
Mailing address
150 SOUTHFIELD AVE, 1408, STAMFORD, CT 06902-7756
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
820
CT
Other
Enumeration date
07/27/2014
Last updated
07/27/2014
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