Individual
ERIC VAN PELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
171 LAKE ST, RAMSEY, NJ 07446-2089
(201) 327-1990
Mailing address
171 LAKE ST, RAMSEY, NJ 07446-2089
(201) 327-1990
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00277100
NJ
Other
Enumeration date
04/20/2011
Last updated
04/20/2011
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