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Individual

MRS. AMANDA HELEN LARAUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
901 W MAIN ST, FREEHOLD, NJ 07728-2537
(732) 297-2700
(732) 294-2568
Mailing address
901 W MAIN ST, FREEHOLD, NJ 07728-2537
(732) 637-6303
(732) 294-2568

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
40QAOO590700
NJ

Other

Enumeration date
11/07/2012
Last updated
11/07/2012
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