Melissa Lynne Theall

NPI #1487323663 in Manasquan, New Jersey

Provider Information

NPI Number: 1487323663
Entity Type: Individual
Name: Melissa Lynne Theall
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Sep 10, 2021
Last Updated: Sep 10, 2021

Practice Location

Address: 240 PARKER AVE
City: Manasquan
State: New Jersey
ZIP Code: 08736-2804
Phone: (732) 612-8412

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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