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Individual

LAWRENCE KERWIN A. UMALI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHYSICAL THERAPIST

Contact information

Practice address
901 N WOOD AVE, LINDEN, NJ 07036-4039
(908) 474-9444
(908) 620-3744
Mailing address
901 NORTH WOOD AVENUE, LINDEN, NJ 07036
(908) 474-9444
(908) 620-3744

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
40QA01307300
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
40QA01307300
PHYSICAL THERAPIST LICENSE
NJ
Enumeration date
04/10/2009
Last updated
04/10/2009
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