Individual
CASEY NICOLE MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.T.C.
Contact information
Practice address
PRINCETON UNIVERSITY, CALDWELL FIELDHOUSE, FACULTY RD, PRINCETON, NJ 08544-1033
(925) 708-8763
Mailing address
PO BOX 71, PRINCETON, NJ 08542-0071
(925) 708-8763
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00189100
NJ
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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