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Individual
MR. JEFFREY THOMAS DE BELLIS
Active
Individual
MR. JEFFREY THOMAS DE BELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, MS, OCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01023300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223803579
TAXID
—
01
—
40QA01023300
STATE LICENSE
NJ
Enumeration date
09/16/2006
Last updated
07/28/2011
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