SearchNew Jersey2081P0010X

Michelle Wallace, PT

NPI 1477808947 · on the registry since 2012 · sole proprietor

Practice

Address
75 Norman Pl
Tenafly, NJ 07670
Phone
(732) 761-0088

Registry record

Primary taxonomy
2081P0010X
2081P0010X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-07-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey