Individual
ELLEN LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
434 HASBROUCK BLVD, ORADELL, NJ 07649-2210
(201) 523-1273
(201) 857-5281
Mailing address
434 HASBROUCK BLVD, ORADELL, NJ 07649-2210
(201) 523-1273
(201) 857-5281
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00750100
NJ
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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