Individual
MICHELLE LOLA FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1261 ROUTE 9 S, CAPE MAY COURT HOUSE, NJ 08210-2761
(609) 465-8801
Mailing address
981 RTE 22 FL 2, BRIDGEWATER, NJ 08807-2946
(201) 801-7141
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00270900
NJ
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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