Individual
NATALIE KOLOGRIVOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
325 CEDAR HILL AVE, WYCKOFF, NJ 07481-2312
(201) 995-3832
Mailing address
325 CEDAR HILL AVE, WYCKOFF, NJ 07481-2312
(201) 995-3832
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/21/2023
Last updated
11/04/2024
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