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1811746852
SUSAN Z LASTRA
HACKENSACK, NJ
NPI
1811746852
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2251P0200X Physical Therapist Pediatrics
(Licence: NJ 40QA00435300)
Enumeration Date
2024-05-14
Last Update Date
2024-05-15
Business Address
SUSAN Z LASTRA PT, DPT
30 PROSPECT AVE
HACKENSACK, NJ 07601-1915
Phone number: 201-638-6073
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Mailing Address
SUSAN Z LASTRA PT, DPT
PO BOX 322
WOOD RIDGE, NJ 07075-0322
Phone number: 201-638-6073
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