PHILLIP LANEZ

HACKENSACK, NJ
NPI1346844156
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NJ  40QB00363800)
Enumeration Date2020-11-23
Last Update Date2020-11-23
Business Address
PHILLIP LANEZ
317 SIMONS AVE
HACKENSACK, NJ 07601-1817
Phone number: 201-881-6217
Mailing Address
PHILLIP LANEZ
317 SIMONS AVE
HACKENSACK, NJ 07601-1817
Phone number: 201-881-6217
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