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Individual

MS. MARY WETHERILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CMT,NMT

Contact information

Practice address
33 PLYMOUTH ST, SUITE LL1, MONTCLAIR, NJ 07042-2607
(201) 993-9592
Mailing address
141 MULBERRY RD, RAMSEY, NJ 07446-1156
(201) 993-9592

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
NJ

Other

Enumeration date
02/22/2010
Last updated
02/22/2010
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