Individual
MRS. AMY JANINE GHIONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1445 LAKEWOOD AVE, BRICK, NJ 08724-4216
(732) 836-0995
Mailing address
1445 LAKEWOOD AVE, BRICK, NJ 08724-4216
(732) 836-0995
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00056800
NJ
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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