Individual
KATELYN CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
823 LACEY RD, FORKED RIVER, NJ 08731-1203
(609) 693-5055
(609) 693-0222
Mailing address
823 LACEY RD, FORKED RIVER, NJ 08731-1203
(609) 693-5055
(609) 693-0222
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00365300
NJ
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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