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Individual

MS. MICHELE M JENKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
22 W JIMMIE LEEDS RD, GALLOWAY, NJ 08205-9422
(609) 652-9270
(609) 652-9270
Mailing address
207 W WRIGHT ST, PLEASANTVILLE, NJ 08232-3190
(609) 646-1797

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00127200
NJ

Other

Enumeration date
05/09/2007
Last updated
07/08/2007
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