Individual
DANIELLE M WASSUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
210 W SAINT GEORGES AVE, LINDEN, NJ 07036-3900
(908) 587-1624
Mailing address
217 LEXINGTON BLVD APT 6, CLARK, NJ 07066-1464
(732) 991-6045
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01878700
NJ
Other
Enumeration date
09/15/2019
Last updated
09/15/2019
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