EILEEN WALLACE

LONG BRANCH, NJ
NPI1568585362
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NJ  25MT00040000)
Enumeration Date2007-04-08
Last Update Date2022-07-21
Business Address
Ms. EILEEN WALLACE ATC, PTA
10 ARTHUR AVE
LONG BRANCH, NJ 07740-6402
Phone number: 732-222-3839
Mailing Address
Ms. EILEEN WALLACE ATC, PTA
10 ARTHUR AVE
LONG BRANCH, NJ 07740-6402
Phone number: 732-222-3839
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