Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. EILEEN WALLACE, ATC, PTA
Active Sole ProprietorMS. EILEEN WALLACE, ATC, PTA is a Athletic Trainer healthcare provider located in LONG BRANCH, New Jersey. NPI 1568585362 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · LONG BRANCH, NJ
Registration Details
- NPI Number
- 1568585362
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 8, 2007 (19.345921933567 yrs)
- Last Updated
- Jul 21, 2022
- License
-
25MT00040000 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10 ARTHUR AVELONG BRANCH, NJ, 077406402Browse NJ providers · Browse ZIP 07740
- Phone
- 7322223839
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in LONG BRANCH, NJ
| Name | Credential | NPI |
|---|---|---|
| MELINDA MAE BRENNER | ATC, CSCS | 1083884506 |
| KIM SMALL | ATC | 1023421542 |
| JOSEPH PAUL GIACOMO | — | 1609394816 |
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.