Individual
MICHELE B. FAHRENFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
194 2ND AVE, CEDAR GROVE, NJ 07009-1141
(973) 256-0330
(973) 812-0339
Mailing address
PO BOX 319, CEDAR GROVE, NJ 07009-0319
(973) 256-0330
(973) 812-0339
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00109200
NJ
Other
Enumeration date
03/06/2008
Last updated
03/06/2008
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