Doctor Name: | CATHERINE E LAICO |
NPI Number: | 1326093949 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | QA03280 |
Business Practice Address: | 223 Wanaque Ave Suite 302 Pompton Lakes, NJ - 074422103 |
Business Phone Number: | 9738396801 |
Business Fax Number: | 9738397293 |
Mailing Address: | 223 Wanaque Ave, Suite 302 POMPTON LAKES |
State: | NJ |
Postal Code: | 074422103 |
Phone Number: | 9738396801 |
Fax Number: | 9738397293 |
NPI Enumeration Date: | 05/23/2006 |
NPI Last Update Date: | 01/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | QA03280 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |