Individual
DEIRDRE CHATLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
PRINCETON UNIVERSITY CALDWELL FIELD HOUSE, PRINCETON, NJ 08544-0001
(609) 258-3527
Mailing address
PRINCETON UNIVERSITY CALDWELL FIELD HOUSE, PRINCETON, NJ 08544-0001
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00255900
NJ
2255A2300X
Athletic Trainer
RT006793
PA
Other
Enumeration date
05/06/2020
Last updated
05/06/2020
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