Individual
JENNIFER LAUREN LASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.P.T.
Contact information
Practice address
2200 WALLACE BLVD, SUITE E, CINNAMINSON, NJ 08077-2578
(856) 829-0015
(856) 829-0043
Mailing address
3006 5TH ST, VOORHEES, NJ 08043-3677
(609) 220-8644
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01116400
NJ
2251X0800X
Orthopedic Physical Therapist
40QA01116400
NJ
Other
Enumeration date
03/21/2006
Last updated
06/05/2012
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