Individual
MARIE KLINDTWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
606 MONMOUTH AVE, SPRING LAKE, NJ 07762-2037
(561) 506-2515
Mailing address
606 MONMOUTH AVE, SPRING LAKE, NJ 07762-2037
(561) 506-2515
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00301800
NJ
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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