Individual
SAMANTHA KOLIBAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
49 CLAREMONT AVE, MONTCLAIR, NJ 07042-4854
(973) 680-8390
Mailing address
1360 CLIFTON AVE, # 345, CLIFTON, NJ 07012-1453
(973) 928-3590
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00206900
NJ
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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