Lauren R Canner, DPT
Physical Therapist in Plainview, NY. Individual provider (NPI-1).
NPI number1770824393
StatusActive
Last updated in NPPESMar 6, 2013
Details
- NPI
- 1770824393
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Lauren R Canner
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 6, 2013
- Last updated
- Mar 6, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 031792-1 | NY | Yes |
Other names
- Lauren R Pasquarelli (Other Name)
Practice location
225 Executive DrSuite Ll108
Plainview, NY 11803-1718
Phone 516-576-2040 · Fax 516-576-2131
Mailing address
2049 Brian DrNorth Merrick, NY 11566-1701
Phone 631-786-4503
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