Individual
LAURA CHMIELEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTZ
Contact information
Practice address
348 LAKE SHORE DR, BRICK, NJ 08723-6014
(800) 950-6066
Mailing address
348 LAKE SHORE DR, BRICK, NJ 08723-6014
(800) 950-6066
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00121900
NJ
Other
Enumeration date
04/28/2009
Last updated
04/28/2009
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