Individual
MRS. KATHLEEN M SANSONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
100 HORSENECK RD, MONTVILLE, NJ 07045-9626
(973) 331-7100
Mailing address
81 PLEASANT ST, DUMONT, NJ 07628-1319
(201) 618-5355
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00180000
NJ
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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