Individual
JOAN SALUSTRO MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
390 BRICKYARD RD, FREEHOLD, NJ 07728-8414
(732) 780-3111
Mailing address
390 BRICKYARD RD, FREEHOLD, NJ 07728-8414
(732) 780-3111
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00038900
NJ
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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