Individual
LISA J TRUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
30 SPRINGDALE GARDEN RD, NEWTON, NJ 07860-5358
(973) 383-0710
Mailing address
30 SPRINGDALE GARDEN RD, NEWTON, NJ 07860-5358
(973) 383-0710
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00028300
NJ
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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