Individual
JASON ZAMBRICZKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT, CES
Contact information
Practice address
1 S STEWART AVE, RIDLEY PARK, PA 19078-1002
(610) 691-1832
Mailing address
607 DEWEY AVE NW STE 300, GRAND RAPIDS, MI 49504-7335
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT005965
PA
Other
Enumeration date
12/28/2017
Last updated
12/28/2017
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