Individual
JOHNGARRET VANDERVEER DENISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
330 N HARRISON ST STE 6, PRINCETON, NJ 08540-3500
(609) 977-4202
Mailing address
1505 POTTERS PL, HOLLAND, PA 18966-5524
(609) 977-4202
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT01365800
NJ
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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