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Individual

LAURA ANN WIDMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
294 APPLEGARTH RD, MONROE TOWNSHIP, NJ 08831-3754
(609) 495-1888
(609) 662-4467
Mailing address
1200 EAGLE AVE, OCEAN, NJ 07712-7631
(732) 660-6220
(732) 660-6221

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
40QA00344900
NJ
2251X0800X
Orthopedic Physical Therapist
Primary
40QA00344900
NJ

Other

Enumeration date
08/13/2012
Last updated
08/13/2012
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