Individual
DANA VANDEVAARST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2557 HOOPER AVE, BRICK, NJ 08723-6238
(732) 701-3711
Mailing address
2557 HOOPER AVE, BRICK, NJ 08723-6238
(732) 701-3711
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00899900
NJ
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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