Individual
BECKY SELDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1200 EAGLE AVE, OCEAN, NJ 07712-7631
(732) 660-6200
(732) 660-6221
Mailing address
1200 EAGLE AVE, OCEAN, NJ 07712-7631
(732) 660-6200
(732) 660-6221
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00318500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18KT00318500
STATE BOARD OF NEW JERSEY, MASSAGE THERAPIST
NJ
Enumeration date
01/30/2014
Last updated
02/10/2014
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