Organization
AXIS TELETHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIFRA MEHL MA CCC-SLP (OWNER)
(646) 943-3230
Entity
Organization
Contact information
Practice address
36 GLEN AVE, LAKEWOOD, NJ 08701-3055
(646) 943-3230
Mailing address
36 GLEN AVE, LAKEWOOD, NJ 08701-3055
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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