Individual
DONNA VAN AMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
101 WALNUT ST, NEPTUNE, NJ 07753-4301
(732) 774-3550
(732) 775-7534
Mailing address
9 WESTERN DR, HOWELL, NJ 07731-2727
(848) 333-6767
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00414600
NJ
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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