Doctor Name: | MRS. DANIELLE T AYER |
NPI Number: | 1053695239 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 40QA01399900 |
Business Practice Address: | 150 New Providence Rd Mountainside, NJ - 070922590 |
Business Phone Number: | 9082333720 |
Business Fax Number: | 9083015582 |
Mailing Address: | 95 Prospect St, BERKELEY HEIGHTS |
State: | NJ |
Postal Code: | 079221105 |
Phone Number: | 9082333720 |
Fax Number: | 9083015582 |
NPI Enumeration Date: | 10/05/2011 |
NPI Last Update Date: | 10/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 40QA01399900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |