Individual
LAWRENCE LOUIS LEDESMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
231 BOYD AVE, JERSEY CITY, NJ 07304-1103
(201) 433-4719
Mailing address
231 BOYD AVE, JERSEY CITY, NJ 07304-1103
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00683100
NJ
Other
Enumeration date
06/22/2016
Last updated
06/22/2016
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