Individual
MEAGHAN DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT, CSCS
Contact information
Practice address
29 WESMONT DRIVE, WOOD RIDGE, NJ 07075
(973) 985-0302
Mailing address
29 WESMONT DRIVE, WOOD RIDGE, NJ 07075
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00149900
NJ
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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