Individual
MS. CYNTHIA ANN WETHERELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.T.,C.
Contact information
Practice address
281 ELTON ADELPHIA RD, FREEHOLD, NJ 07728-9211
(732) 431-8460
Mailing address
15 LOUISIANA PKWY, JACKSON, NJ 08527-2143
(732) 961-3881
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00027800
NJ
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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