Individual
NICHOLAS LAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1111 CLIFTON AVE, 101, CLIFTON, NJ 07013
(973) 400-3730
Mailing address
494 MAPLE AVE, TEANECK, NJ 07666-2581
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00340300
NJ
Other
Enumeration date
08/02/2017
Last updated
08/02/2017
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