Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 40QA01327700 | NJ |
NPI | 1083040281 |
---|---|
Provider Name | Laura Ann Cambria |
First Address | Fair Lawn, NJ 07410 |
Second Address | Fair Lawn, NJ 07410-2815 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2013 |
Last Update Date | 19/09/2013 |