Individual
TAYLOR PERRAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8 HILLSIDE AVE, FLANDERS, NJ 07836
(973) 668-8489
Mailing address
8 HILLSIDE AVE, FLANDERS, NJ 07836-9045
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
003885-01
NY
2255A2300X
Athletic Trainer
Primary
25MT00255700
NJ
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/29/2017
Last updated
08/27/2019
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