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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DILLON DOUGLASS, DPT, ATC

Active

Athletic Trainer · EAST RUTHERFORD, NJ

Registration Details

NPI Number
1013532357
Provider Type
Individual
Gender
Male
NPI Issued
Jun 12, 2020 (5.901526062756 yrs)
Last Updated
Apr 18, 2024
Licenses
25MT00315800 (NJ)
40QA02176600 (NJ)

Practice Information

Address
1925 GIANTS DR
EAST RUTHERFORD, NJ, 070732140
Browse NJ providers · Browse ZIP 07073
Phone
2019358111
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Physical Therapy Assistant

Other Athletic Trainer Providers in EAST RUTHERFORD, NJ

Name Credential NPI
MR. LEIGH JORDAN WEISS ATC, PT/DPT 1144282252
MR. STEVEN WILLIAM KENNELLY ATC 1528125036
MR. JUSTIN DANIEL MAHER ATC, PT, DPT 1538407671
JONATHAN LIN PT, DPT, ATC, CSCS 1023350444
PHILIP BUZZERIO M.S. ATC 1013367408
LAUREN KRAVITZ ATC 1245810159
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.