Individual
SEAN ANTHONY TRUESDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
105 N CHURCH RD, SPARTA, NJ 07871-3203
(973) 383-6700
(973) 383-6951
Mailing address
24 SCENIC DR, FREDON, NJ 07860-5318
(973) 383-6700
(973) 383-6951
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00159600
NJ
Other
Enumeration date
11/01/2011
Last updated
04/09/2012
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