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Individual

MEGHAN LUCILLE RAPHAEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
331 NEWMAN SPRINGS RD STE 308, RED BANK, NJ 07701-5688
(732) 747-1262
Mailing address
800 MAIN ST APT 304, BELMAR, NJ 07719-2966

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
053003
NY
2251X0800X
Orthopedic Physical Therapist
Primary
40QA02278500
NJ

Other

Enumeration date
08/28/2024
Last updated
08/28/2024
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