PHYLLIS R PENKETHMAN

WALL TOWNSHIP, NJ
NPI1083493381
Former NamePHYLLIS M RINEHART
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NJ  YS001121)
Enumeration Date2023-09-26
Last Update Date2023-09-26
Business Address
PHYLLIS R PENKETHMAN M.S., CCC-SLP
3349 HWY 138
WALL TOWNSHIP, NJ 07719-9671
Phone number: 732-280-6050
Mailing Address
PHYLLIS R PENKETHMAN M.S., CCC-SLP
PO BOX 213
MANASQUAN, NJ 08736-0213
Phone number: 908-773-0752
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