Individual
ROBERT TIMOTHY ST LAURENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
290 RED SCHOOL LN, PHILLIPSBURG, NJ 08865-2276
(859) 150-6908
Mailing address
10 SHURTS RD, HAMPTON, NJ 08827-4524
(908) 892-7134
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00175600
NJ
Other
Enumeration date
03/07/2021
Last updated
03/07/2021
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