Tiarra Tanae Joseph, MS, LAT, ATC
NPI #1427690999 in Roselle, New Jersey
Provider Information
- NPI Number
- 1427690999
- Entity Type
- Individual
- Name
- Tiarra Tanae Joseph, MS, LAT, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- MS, LAT, ATC
- Enumeration Date
- Oct 16, 2019
- Last Updated
- Oct 16, 2019
Practice Location
- Address
- 122 E 6TH AVE
- City
- Roselle
- State
- New Jersey
- ZIP Code
- 07203-2081
- Phone
- (908) 298-2000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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