Samantha Kolibas, ATC, LAT
Specialist/Technologist, Athletic Trainer in Montclair, NJ. Individual provider (NPI-1).
NPI number1457727554
StatusActive
Last updated in NPPESAug 12, 2015
Details
- NPI
- 1457727554
- Entity type
- Individual (NPI-1)
- Name
- Samantha Kolibas
- Credential
- ATC, LAT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 12, 2015
- Last updated
- Aug 12, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 25MT00206900 | NJ | Yes |
Practice location
49 Claremont AveMontclair, NJ 07042-4854
Phone 973-680-8390
Mailing address
1360 Clifton Ave# 345
Clifton, NJ 07012-1453
Phone 973-928-3590
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All 13 Athletic Trainer providers in Montclair · All 1,965 providers in Montclair
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