Individual
MARY BETH PARADISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
418 BENDERMERE AVE, INTERLAKEN, NJ 07712-4303
(732) 663-1696
Mailing address
418 BENDERMERE AVE, INTERLAKEN, NJ 07712-4303
(732) 663-1696
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00050900
NJ
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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