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Organization
REHAB EXCELLENCE CENTER-MOUNT LAUREL LLC
Active
Organization
REHAB EXCELLENCE CENTER-MOUNT LAUREL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LARA ELIZABETH VIGGIANO LOCASCIO MPT (OWNER/PHYSICAL THERAPIST)
(609) 265-0700
Entity
Organization
Contact information
Practice address
100 CREEK CROSSING BOULEVARD, SUITE 107, HAINESPORT, NJ 08036
(609) 265-0700
(609) 265-0708
Mailing address
100 CREEK CROSSING BOULEVARD, SUITE 107, HAINESPORT, NJ 08036
(609) 265-0700
(609) 265-0708
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00900100
NJ
Other
Enumeration date
10/04/2006
Last updated
01/21/2009
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