Individual
NICOLE R LOWY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1000 MORRIS AVE, UNION, NJ 07083-7133
(908) 737-0659
Mailing address
4 TREMBLAY RD, EAST BRUNSWICK, NJ 08816-4563
(201) 960-6252
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00207100
NJ
Other
Enumeration date
05/12/2017
Last updated
09/17/2020
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