Tyler Dean Melnicove, ATC, EMT Valid NPI

Individual provider · Athletic Trainer · Pittsgrove, NJ

NPI

1316334733

Type

Individual (Type 1)

Primary specialty

Athletic Trainer (Specialist/Technologist)

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

2255A2300X

License number

2000025437 (NJ)

Sex

Male

Sole proprietor

No

Enumerated

2015-04-23

Last updated

2016-09-19