Individual
MRS. NEVENKA LASOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
1 BETHANY RD STE 64, HAZLET, NJ 07730-1667
(732) 335-4030
Mailing address
1 BETHANY RD STE 64, HAZLET, NJ 07730-1667
(732) 335-4030
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
014381
NY
Other
Enumeration date
03/14/2012
Last updated
03/17/2018
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