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1013005958
LORRAINE WALDER
CLIFTON, NJ
NPI
1013005958
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA00298900)
Enumeration Date
2006-10-10
Last Update Date
2007-07-08
Business Address
-- LORRAINE WALDER PT
1135 BROAD ST
CLIFTON, NJ 07013-3346
Phone number: 973-574-8585
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Mailing Address
-- LORRAINE WALDER PT
13-38 11TH ST
FAIR LAWN, NJ 07410-1831
Phone number: 201-797-0445
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