Individual
LORI A HAVEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
447 3RD ST, CARLSTADT, NJ 07072-1421
(201) 893-5991
(201) 804-8515
Mailing address
447 3RD ST, CARLSTADT, NJ 07072-1421
(201) 893-5991
(201) 804-8515
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00860400
NJ
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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