Individual
MICHELLE D. WALLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 DELLWOOD LN, SOMERSET, NJ 08873-1551
(732) 545-4200
Mailing address
4 WINCHESTER RD, SUMMIT, NJ 07901-3019
(917) 406-8942
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
46R00705000
NJ
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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