| Doctor Name: | LAURA ANN WIDMER |
| NPI Number: | 1316294085 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | 40QA00344900 |
| Business Practice Address: | 294 Applegarth Rd Monroe Township, NJ - 088313754 |
| Business Phone Number: | 6094951888 |
| Business Fax Number: | 6096624467 |
| Mailing Address: | 1200 Eagle Ave, OCEAN |
| State: | NJ |
| Postal Code: | 077127631 |
| Phone Number: | 7326606220 |
| Fax Number: | 7326606221 |
| NPI Enumeration Date: | 08/13/2012 |
| NPI Last Update Date: | 08/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 40QA00344900 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| 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 |