| NPI | 1992009203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN L LASER Owner/Physical Therapist 856-504-6930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NJ 40QA01113200) |
| Enumeration Date | 2010-12-29 |
| Last Update Date | 2012-07-28 |