Individual
CHANEL K PORTER-LAGRIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
77 MADISON AVE, MORRISTOWN, NJ 07960-7330
(973) 540-9800
Mailing address
56 VAN NESS CT, MAPLEWOOD, NJ 07040-3323
(973) 220-0880
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00278900
NJ
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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