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1093759334
MICHAEL PETELICKI
POMPTON PLAINS, NJ
NPI
1093759334
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA01023900)
Enumeration Date
2006-06-16
Last Update Date
2007-07-08
Business Address
-- MICHAEL PETELICKI PT
242 W PARKWAY SUITE 1
POMPTON PLAINS, NJ 07444-1029
Phone number: 973-831-0717
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Mailing Address
-- MICHAEL PETELICKI PT
7 SHEPHERD DR
WANAQUE, NJ 07465-1017
Phone number: 973-248-6216
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