Individual
MISS AMANDA BETH MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATHLETIC TRAINER
Contact information
Practice address
419 MIDDLE RD, RARITAN HIGH SCHOOL, HAZLET, NJ 07730-2428
(732) 264-8411
Mailing address
45 PLAYERS CIR, TINTON FALLS, NJ 07724-3808
(732) 264-8411
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00103900
NJ
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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