Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA TAYLOR DEDOMENICO, MS,LAT, ATC
ActiveJESSICA TAYLOR DEDOMENICO, MS,LAT, ATC is a Athletic Trainer healthcare provider located in BRICK, New Jersey. NPI 1457088700 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · BRICK, NJ
Registration Details
- NPI Number
- 1457088700
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 5, 2022 (3.9836299973461 yrs)
- Last Updated
- Aug 5, 2022
- License
-
25MT00307100 (NJ)
Practice Information
- Address
-
110 CARTAGENA DRBRICK, NJ, 087237005Browse NJ providers · Browse ZIP 08723
- Phone
- 6094955899
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in BRICK, NJ
| Name | Credential | NPI |
|---|---|---|
| MS. SUSAN ELIZABETH PENROD | ATC | 1558403725 |
| MRS. AMY JANINE GHIONE | ATC | 1891838942 |
| MR. JOSEPH PAUL MILLER | ATC | 1952581290 |
| MR. JAMES BARBER | A.T.C. | 1275782799 |
| ANNETTE A MCNEIL | MSW | 1265836944 |
| LAUREN MCELROY | ATC | 1861880734 |
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.