Individual
ALISON MOQUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS ATC
Contact information
Practice address
300 POMPTON RD, WAYNE, NJ 07470-2103
(973) 720-2358
Mailing address
300 POMPTON RD, WAYNE, NJ 07470-2103
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00125900
NJ
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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