Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY ROUSSEAU, ATC
Active Sole ProprietorMARY ROUSSEAU, ATC is a Athletic Trainer healthcare provider located in BOONTON, New Jersey. NPI 1164893905 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · BOONTON, NJ
Registration Details
- NPI Number
- 1164893905
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 19, 2015 (10.813724602753 yrs)
- Last Updated
- Oct 19, 2015
- Sole Proprietor
- Yes
Practice Information
- Address
-
423 CORNELIA STBOONTON, NJ, 070051804Browse NJ providers · Browse ZIP 07005
- Phone
- 8625798441
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in BOONTON, NJ
| Name | Credential | NPI |
|---|---|---|
| ERIN O'GRADY | ATC | 1659831527 |
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.