Individual
MS. CRISTA ANN SCIANCALEPORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
400 S ORANGE AVE, SOUTH ORANGE, NJ 07079-2646
(973) 761-9499
Mailing address
22 CRANFORD TER, CRANFORD, NJ 07016-3407
(908) 917-3780
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00147400
NJ
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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