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Organization
PHYSICAL THERAPY WORKS, LLC
Active
Organization
PHYSICAL THERAPY WORKS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE BOENNING PT, MA (OWNER/PHYSICAL THERAPIST)
(732) 701-9320
Entity
Organization
Contact information
Practice address
2417 BRIDGE AVE, POINT PLEASANT BORO, NJ 08742-4334
(732) 701-9320
(732) 701-9321
Mailing address
2417 BRIDGE AVE, POINT PLEASANT BORO, NJ 08742-4334
(732) 701-9320
(732) 701-9321
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
QA04593
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2133806
AETNA
NJ
Enumeration date
07/28/2006
Last updated
03/18/2011
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