Individual
KELLY ANNE PENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
30 PROVOST ST, JERSEY CITY, NJ 07302-5866
(551) 689-0763
Mailing address
556 RIDGE ST, NEWARK, NJ 07104-1514
(551) 689-0059
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT01012100
NJ
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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