Individual
DR. JASON DE LA BRUYERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
28 FARVIEW TER, PARAMUS, NJ 07652-2740
(201) 880-9810
Mailing address
28 FARVIEW TER, PARAMUS, NJ 07652-2740
(201) 880-9810
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01325400
NJ
Other
Enumeration date
10/14/2009
Last updated
06/23/2014
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