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Individual

MRS. PATRICIA ANN CREVELING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CMT LMT

Contact information

Practice address
232 NORWOOD AVE, W LONG BRANCH, NJ 07764-1859
(908) 571-9111
(732) 571-9202
Mailing address
611 FLETCHER DR, NEPTUNE, NJ 07753-3910
(908) 489-0381

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26BT00021000
NJ

Other

Enumeration date
12/05/2006
Last updated
07/08/2007
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