Individual
KYLE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT
Contact information
Practice address
970 BORDENTOWN RD, BURLINGTON, NJ 08016-1902
(609) 790-3658
Mailing address
970 BORDENTOWN RD, BURLINGTON, NJ 08016-1902
(609) 790-3658
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004398
PA
Other
Enumeration date
06/17/2014
Last updated
06/17/2014
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