Individual
MR. SEBASTIAN BALESTRIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
614 LAMBS RD, PITMAN, NJ 08071-2000
(856) 248-7191
Mailing address
614 LAMBS RD, PITMAN, NJ 08071-2000
(856) 248-7191
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00041200
NJ
Other
Enumeration date
04/22/2014
Last updated
04/22/2014
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