Individual
STEPHANIE M MICHLIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
901 W PARK AVE, OCEAN, NJ 07712-7271
(732) 493-1166
(732) 923-1510
Mailing address
83 JENSEN ST, EAST BRUNSWICK, NJ 08816-2850
(732) 476-8096
(732) 923-1510
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
40QA01161100
NJ
Other
Enumeration date
10/03/2008
Last updated
10/03/2008
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