Individual
DANIELLE VANBEUZEKOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7 SANFORD AVE, BELLEVILLE, NJ 07109-1221
(973) 751-0200
Mailing address
7 SANFORD AVE, BELLEVILLE, NJ 07109-1221
(973) 751-0200
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
40QA00841100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3066619
AETNA
NJ
Enumeration date
09/26/2006
Last updated
07/08/2007
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