IndividualActive
Alexandra Roque, ATC
NPI 1104536663 · Athletic Trainer · Freehold, NJ
Provider details
- NPI number
- 1104536663
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- No
- License
- 25MT00334400 (NJ)
Mailing address
1455 Broad St Ste 250
Bloomfield, NJ 07003-3066
Registry dates
- Enumerated
- 2022-11-24
- Last updated
- 2025-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.