Individual
MRS. LAURA JEAN BANKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RT
Contact information
Practice address
151 KNOLLCROFT RD # 117-D, LYONS, NJ 07939-5001
(908) 647-0180
Mailing address
151 KNOLLCROFT RD, 117D, LYONS, NJ 07939
(908) 647-0180
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
NJ
Other
Enumeration date
03/14/2008
Last updated
03/14/2008
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