| NPI | 1225677792 |
|---|---|
| Former Name | LAURA HOLDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NJ 40QA01910600) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01910600) |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2022-12-29 |