Individual
JOANNE WELLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
18 MOHAWK AVE, SPARTA TOWNSHIP BOARD OF EDUCATION, SPARTA, NJ 07871-1809
(973) 729-2155
Mailing address
22 FOREST DR, NEWTON, NJ 07860-6845
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
40QA00271100
NJ
Other
Enumeration date
12/04/2006
Last updated
05/02/2008
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