Individual
NANCY MICHAELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1361 ROUTE 72 W, MANAHAWKIN, NJ 08050-2417
(609) 978-0600
Mailing address
519 PIRATE LN, MANAHAWKIN, NJ 08050-2147
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00228500
NJ
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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