Individual
ERIN O'GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
315 WOOTTON ST, BOONTON, NJ 07005-1939
(973) 794-6040
Mailing address
214 POWERVILLE RD, BOONTON, NJ 07005-8732
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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