Individual
ELLEN ENGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
213 2ND AVE APT B7, ASBURY PARK, NJ 07712-6227
(732) 800-2204
Mailing address
213 2ND AVE APT B7, ASBURY PARK, NJ 07712-6227
(732) 800-2204
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT01364300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E59152137454942
MOTOR VEHICLE COMMISSION
NJ
Enumeration date
04/25/2020
Last updated
04/25/2020
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