Individual
DANIELLE V. BAZELAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
80 S MAIN RD, VINELAND, NJ 08360-7829
(856) 500-3800
(856) 213-6549
Mailing address
224 STRAWBRIDGE DR STE 100, MOORESTOWN, NJ 08057-4602
(856) 677-4000
(856) 234-3014
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01803800
NJ
Other
Enumeration date
09/12/2018
Last updated
04/02/2020
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