Individual
MRS. GABRIELLE FALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
1600 CROWN POINT RD, WEST DEPTFORD, NJ 08093-1742
(856) 848-6110
Mailing address
342 FRANKFORD AVE, BLACKWOOD, NJ 08012-3727
(856) 994-2536
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00239600
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2016
Last updated
12/08/2023
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