NPI 1972928968

Lauren Tracey Wirth, PTA

Practitioner Physical Therapy Assistant Jackson, NJ

Practice location

Address: 288 Whitesville Rd, Jackson, NJ 08527-5139
Phone: (732) 912-6690

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 40QB00210900 (NJ)

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Registry record

NPI: 1972928968
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Feb 2014
Record last updated: 27 Feb 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.