Doctor Name: | MARICEL LAZO |
NPI Number: | 1033368279 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 40QA01012000 |
Business Practice Address: | 1600 Perrineville Rd Monroe Township, NJ - 088314923 |
Business Phone Number: | 6094098484 |
Business Fax Number: | |
Mailing Address: | 2704 Village Dr, AVENEL |
State: | NJ |
Postal Code: | 070011056 |
Phone Number: | 5855036143 |
Fax Number: | |
NPI Enumeration Date: | 09/11/2008 |
NPI Last Update Date: | 09/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 40QA01012000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |