Individual
MS. ALEAH ABIGAIL NIESHALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1 FELICIAN WAY, RUTHERFORD, NJ 07070-1977
(201) 559-6000
Mailing address
63 HEARTHSTONE DR, WEST MILFORD, NJ 07480-3752
(973) 838-7714
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00266900
NJ
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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