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Individual

MS. MICHELLE ANN PHELAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
1 CASTLE POINT TER, HOBOKEN, NJ 07030-5906
(201) 216-5695
(201) 216-8244
Mailing address
818 WASHINGTON ST # 2, HOBOKEN, NJ 07030-5006
(201) 216-5695
(201) 216-8244

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
08/25/2006
Last updated
07/08/2007
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