Individual
MRS. LAURIE J BOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
155 WYCKOFF AVE, WALDWICK, NJ 07463-1434
(201) 652-9000
Mailing address
12 VALLEY ST, HAWTHORNE, NJ 07506-2018
(973) 949-3393
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT001114000
NJ
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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