Individual
MR. DAVID MOTISI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
622 EAGLE ROCK AVE, WEST ORANGE, NJ 07052-2994
(973) 669-0078
Mailing address
8 CEDAR ST, BUTLER, NJ 07405-1329
(201) 486-7431
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00163600
NJ
Other
Enumeration date
03/28/2011
Last updated
01/29/2013
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