SUSAN Z LASTRA

HACKENSACK, NJ
NPI1811746852
Entity TypeIndividual
GenderN/A
Sole Proprietor ?Yes
Primary Taxonomy2251P0200X Physical Therapist, Pediatrics
(Licence: NJ  40QA00435300)
Enumeration Date2024-05-14
Last Update Date2024-05-15
Business Address
SUSAN Z LASTRA PT, DPT
30 PROSPECT AVE
HACKENSACK, NJ 07601-1915
Phone number: 201-638-6073
Mailing Address
SUSAN Z LASTRA PT, DPT
PO BOX 322
WOOD RIDGE, NJ 07075-0322
Phone number: 201-638-6073
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