Individual
LAURA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
102 KINGS WAY W, SEWELL, NJ 08080-2235
(856) 582-4500
(856) 589-1280
Mailing address
102 KINGS WAY W, SEWELL, NJ 08080-2235
(856) 582-4500
(856) 589-1280
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00161400
NJ
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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