Organization
FAST TRACK PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN L LASER P.T. (OWNER/PHYSICAL THERAPIST)
(856) 504-6930
Entity
Organization
Contact information
Practice address
700 S WHITE HORSE PIKE, SUITE D, SOMERDALE, NJ 08083-1253
(856) 504-6930
(856) 504-6934
Mailing address
PO BOX 9, SOMERDALE, NJ 08083-0009
(856) 504-6930
(856) 504-6934
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA01113200
NJ
Other
Enumeration date
12/29/2010
Last updated
07/28/2012
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