Individual
RUTH LAICOVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
110 CEDAR GROVE RD, MULLICA HILL, NJ 08062-4618
(856) 223-5140
Mailing address
110 CEDAR GROVE RD, MULLICA HILL, NJ 08062-4618
(856) 223-5140
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1286921
NJ
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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