Individual
MELISSA E NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
100 CENTRAL AVE, OLD TAPPAN, NJ 07675-7340
(201) 784-1600
Mailing address
213 HUDSON AVE, HOPATCONG, NJ 07843-1709
(617) 645-5733
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00140300
NJ
Other
Enumeration date
06/16/2006
Last updated
09/22/2021
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