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Individual

NIKKI OWENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3959 BROADWAY FL 8, NEW YORK, NY 10032-1559
(609) 221-3151
Mailing address
157 JERICHO RD, SALEM, NJ 08079-3117

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
004252
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
11/22/2016
Last updated
03/09/2023
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