Individual
MRS. DANIELLE ALYSE VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
150 NEW PROVIDENCE RD, MOUNTAINSIDE, NJ 07092-2590
(908) 233-9720
(908) 301-5582
Mailing address
150 NEW PROVIDENCE RD, MOUNTAINSIDE, NJ 07092
(908) 233-3720
(908) 301-5582
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00517100
NJ
Other
Enumeration date
06/03/2010
Last updated
10/08/2012
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