Individual
KEVIN LEE LASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
700 S WHITE HORSE PIKE, SUITE D, SOMERDALE, NJ 08083-1253
(856) 504-6930
(856) 504-6934
Mailing address
700 S WHITE HORSE PIKE, SUITE D, SOMERDALE, NJ 08083-1253
(856) 504-6930
(856) 504-6934
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
40QAO1113200
NJ
Other
Enumeration date
04/27/2006
Last updated
10/02/2014
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