Individual
MISS LAURA ANN GLENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, MPT
Contact information
Practice address
313 SOUTH AVE, FANWOOD, NJ 07023-1364
(908) 301-2600
(908) 301-2630
Mailing address
313 SOUTH AVENUE, FANWOOD, NJ 07023-1325
(908) 301-2600
(908) 301-2630
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
40QA01219400
NJ
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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