Individual
JACLYN ROSE RETTIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4513 MANHATTAN COLLEGE PKWY, BRONX, NY 10471-4004
(718) 862-7226
Mailing address
96 WALLER AVE, WHITE PLAINS, NY 10605-1808
(973) 525-7392
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003332
NY
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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