Individual
YRIS VANBRAKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
355 BLOOMFIELD AVE, CALDWELL, NJ 07006-5118
(973) 228-0072
(973) 228-2311
Mailing address
310 64TH ST APT 1, WEST NEW YORK, NJ 07093-2393
(646) 270-4937
(973) 228-2311
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00267800
NJ
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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