Individual
LANELLE BAYLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
67 S FRANKLIN AVE, BERGENFIELD, NJ 07621-2015
(845) 600-0990
Mailing address
67 S FRANKLIN AVE, BERGENFIELD, NJ 07621-2015
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00303500
NJ
Other
Enumeration date
09/25/2023
Last updated
11/04/2023
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