NPI 1013532357

Dillon Douglass, DPTATC

Practitioner Athletic Trainer East Rutherford, NJ

Practice location

Address: 1925 Giants Dr, East Rutherford, NJ 07073-2140
Phone: (201) 935-8111
Mailing address: 100 Schindler CT APT 166, East Rutherford, NJ 07073-2173

Registered specialties (2)

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 25MT00315800 (NJ)

Other Specialist/Technologist providers in New Jersey →

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 40QA02176600 (NJ)

Other Physical Therapist providers in New Jersey →

Registry record

NPI: 1013532357
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jun 2020
Record last updated: 18 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.