Individual
MR. MICHAEL LEE REDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
801 KINGS HWY N, CHERRY HILL, NJ 08034-1513
(800) 670-3893
(856) 482-8498
Mailing address
18 LAKEWOOD AVE, MEDFORD, NJ 08055-3467
(856) 983-7112
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
40QB00224600
NJ
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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