Doctor Name: | MR. JOHN VICCHIO |
NPI Number: | 1033179403 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | QA05261 |
Business Practice Address: | 10 Eisenhower Parkway Roseland, NJ - 07068 |
Business Phone Number: | 9733640430 |
Business Fax Number: | 9733640478 |
Mailing Address: | 78 Hillside Ave, WEST CALDWELL |
State: | NJ |
Postal Code: | 07006 |
Phone Number: | 9732263754 |
Fax Number: | |
NPI Enumeration Date: | 03/28/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | QA05261 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |