Doctor Name: | JUSTIN B. LAIELLI |
NPI Number: | 1811244924 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT, PT |
License Number: | 40QA01448600 |
Business Practice Address: | 1940 S West Blvd Building A Vineland, NJ - 083607024 |
Business Phone Number: | 8566909977 |
Business Fax Number: | |
Mailing Address: | 3642 Cornucopia Ave, VINELAND |
State: | NJ |
Postal Code: | 083617667 |
Phone Number: | 6095012854 |
Fax Number: | |
NPI Enumeration Date: | 08/08/2012 |
NPI Last Update Date: | 08/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 40QA01448600 |
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 |