Individual
BRENDAN LAURIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
341 RAILROAD AVE, EAST RUTHERFORD, NJ 07073-1717
(201) 438-7189
(201) 438-7174
Mailing address
341 RAILROAD AVE, EAST RUTHERFORD, NJ 07073-1717
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA02050000
NJ
Other
Enumeration date
10/04/2021
Last updated
10/14/2021
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