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Individual

MRS. KASEY LYNN METTA

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MA, ATC

Contact information

Practice address
COLONIA HS, 180 EAST ST, COLONIA, NJ 07067
(732) 499-6533
Mailing address
275 KIM CT, TOMS RIVER, NJ 08755-6309
(732) 557-4423

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MT00116100
NJ

Other

Enumeration date
05/04/2006
Last updated
07/08/2007
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