Individual
NATALIE DICKOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
412 ALFRED AVE, GLASSBORO, NJ 08028-2053
(856) 341-4368
Mailing address
412 ALFRED AVE, GLASSBORO, NJ 08028-2053
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
NJ
Other
Enumeration date
03/16/2020
Last updated
03/16/2020
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