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Individual

ELISE LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
1361 ROUTE 72 W, MANAHAWKIN, NJ 08050-2402
(609) 978-0600
Mailing address
212 S BAY AVE, BEACH HAVEN, NJ 08008-1708
(908) 331-0180

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00185300
NJ

Other

Enumeration date
11/15/2019
Last updated
11/15/2019
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