Individual
ATHENA DEANGELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
400 4TH AVE, BELLMAWR, NJ 08031-1419
(856) 816-7286
Mailing address
400 4TH AVENUE, BELLMAWR, NJ 08031
(856) 931-3358
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
25MT00185900
NJ
2255A2300X
Athletic Trainer
Primary
J3-0000379
DE
Other
Enumeration date
10/23/2013
Last updated
10/23/2013
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