Individual
JACOB ORESTES CHARPENTIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSAT, ATC
Contact information
Practice address
32 OAKLAND AVE # A, WEST CALDWELL, NJ 07006-7911
(973) 856-0531
Mailing address
32 OAKLAND AVE # A, WEST CALDWELL, NJ 07006-7911
(973) 856-0531
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
NJ
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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