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Organization

RUN JUMP ROLL PT PLLC

Active
Other names
Run Jump Roll
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER KAY LAING MS PT (PRINCIPAL)
(917) 579-0875
Entity
Organization

Contact information

Practice address
433 3RD AVE - COMMERCIAL SPACE 2, BROOKLYN, NY 11215
(917) 579-0875
Mailing address
393A 14TH ST APT 2, BROOKLYN, NY 11215-5110
(917) 579-0875

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
023557
NY

Other

Enumeration date
09/07/2011
Last updated
09/07/2011
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