Individual
DANIELLE V THOMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
25 HIGH ST, NUTLEY, NJ 07110-1131
(973) 235-1515
(973) 235-0452
Mailing address
25 HIGH ST, NUTLEY, NJ 07110-1131
(973) 235-1515
(973) 235-0452
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA008474
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QA008474
PT LICENSE
NJ
Enumeration date
06/06/2008
Last updated
06/06/2008
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