Individual
JASON VINCENT LACSAMANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 LINK DR, ROCKLEIGH, NJ 07647-2504
(201) 784-1414
Mailing address
16 EMERALD ST, HACKENSACK, NJ 07601-6101
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00244300
NJ
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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