Individual
MRS. CHRISTINE ELIZABETH BEVACQUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1279 HOOPER AVE, TOMS RIVER, NJ 08753-3323
(732) 255-4334
Mailing address
78 STRATFORD RD, TINTON FALLS, NJ 07724-3143
(732) 578-9297
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00640400
NJ
Other
Enumeration date
10/09/2006
Last updated
07/08/2007
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