Individual
MARY JANE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, ATC
Contact information
Practice address
69 SUSQUEHANNA TRL, BRANCHBURG, NJ 08876-5408
(908) 253-6067
Mailing address
69 SUSQUEHANNA TRL, BRANCHBURG, NJ 08876-5408
(908) 253-6067
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00065000
NJ
Other
Enumeration date
01/04/2016
Last updated
01/04/2016
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