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Organization
FREEHOLD PHYSICAL THERAPY LLC
Active
Organization
FREEHOLD PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA SQUICCIARINI PTMA (PHYSICAL THERAPY)
(732) 294-0383
Entity
Organization
Contact information
Practice address
77 SCHANCK RD, SUITE B-11, FREEHOLD, NJ 07728-2964
(732) 294-0383
Mailing address
70 TRICENTENNIAL DR, FREEHOLD, NJ 07728-5326
(732) 294-0383
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00460300
NJ
Other
Enumeration date
06/22/2011
Last updated
04/15/2012
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