Melissa Lynne Theall Valid NPI
Individual provider · Physical Therapist · Manasquan, NJ
- NPI
- 1487323663
- Type
- Individual (Type 1)
- Primary specialty
- Physical Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225100000X
- License number
- PT40QA01485100 (NJ)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2021-09-10
- Last updated
- 2021-09-10
Practice location
240 Parker Ave
Manasquan, NJ 08736-2804
(732) 612-8412