Rehab Excellence Center-Mount Laurel LLC
NPI #1336234558 in Hainesport, New Jersey
Provider Information
- NPI Number
- 1336234558
- Entity Type
- Organization
- Organization Name
- Rehab Excellence Center-Mount Laurel LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Oct 4, 2006
- Last Updated
- Jan 21, 2009
Practice Location
- Address
- 100 CREEK CROSSING BOULEVARD, SUITE 107
- City
- Hainesport
- State
- New Jersey
- ZIP Code
- 08036
- Phone
- (609) 265-0700
Authorized Official
- Name
- MRS. LARA ELIZABETH VIGGIANO LOCASCIO, MPT
- Title
- OWNER/PHYSICAL THERAPIST
- Phone
- (609) 265-0700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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