Mary Rousseau, ATC
NPI #1164893905 in Boonton, New Jersey
Provider Information
- NPI Number
- 1164893905
- Entity Type
- Individual
- Name
- Mary Rousseau, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Oct 19, 2015
- Last Updated
- Oct 19, 2015
Practice Location
- Address
- 423 CORNELIA ST
- City
- Boonton
- State
- New Jersey
- ZIP Code
- 07005-1804
- Phone
- (862) 579-8441
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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