Individual
MRS. MARY BETH HOUSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., A.T.C., CSCS
Contact information
Practice address
354 SOUTH ST, NEW PROVIDENCE, NJ 07974-2129
(908) 577-2262
(908) 464-2682
Mailing address
354 SOUTH ST, NEW PROVIDENCE, NJ 07974-2129
(908) 577-2262
(908) 464-2682
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00118700
NJ
2255A2300X
Athletic Trainer
RT003369
PA
Other
Enumeration date
04/10/2006
Last updated
04/30/2010
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