Individual
MRS. DANIELLE RESTIVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2 MAIN STREET, SUITE 1, BRADLEY BEACH, NJ 07720
(732) 807-4702
Mailing address
630 SUSAN LN, BRIELLE, NJ 08730-1736
(732) 276-5846
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA011459
NJ
Other
Enumeration date
03/16/2007
Last updated
09/03/2021
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