Individual
DENISE VANDERVLIET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
44 PINE ST, TINTON FALLS, NJ 07753-7710
(732) 918-1960
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA000668200
NJ
Other
Enumeration date
02/27/2007
Last updated
02/02/2009
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