Individual
MISS LAURIE A HALLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1515 HULSE RD, POINT PLEASANT BORO, NJ 08742-4527
(732) 295-9300
(732) 295-3246
Mailing address
541 PARKER AVE, BRICK, NJ 08724-4817
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00113200
NJ
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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