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BIRGIT PETRA ICKENROTH, A.T.C.

Active

BIRGIT PETRA ICKENROTH, A.T.C. is a Athletic Trainer healthcare provider located in WILLIAMSTOWN, New Jersey. NPI 1932217098 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · WILLIAMSTOWN, NJ

Registration Details

NPI Number
1932217098
Provider Type
Individual
Gender
Female
NPI Issued
Aug 29, 2006 (19.950499664107 yrs)
Last Updated
Jul 8, 2007
License
25MT00068800 (NJ)

Practice Information

Address
700 N TUCKAHOE RD
WILLIAMSTOWN, NJ, 080943512
Browse NJ providers · Browse ZIP 08094
Phone
8562628200
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in WILLIAMSTOWN, NJ

Name Credential NPI
JORDYN NOELLE HECKLER 1235855131
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.