Organization
COMMUNITY THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROCHEL LAZEWNIK SLP (OWNER)
(732) 725-1325
Entity
Organization
Contact information
Practice address
111 CLIFTON AVE STE 6, LAKEWOOD, NJ 08701-3342
(732) 725-1325
Mailing address
7 DOVE LN, LAKEWOOD, NJ 08701-4947
(732) 725-1325
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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