| Doctor Name: | THOMAS MATTHEW DONOFRIO |
| NPI Number: | 1093731036 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | QA08961 |
| Business Practice Address: | 595 Wildwood Rd W Northvale, NJ - 07647 |
| Business Phone Number: | 2015433902 |
| Business Fax Number: | 2017502949 |
| Mailing Address: | 595 Wildwood Rd W, NORTHVALE |
| State: | NJ |
| Postal Code: | 07647 |
| Phone Number: | 2015433902 |
| Fax Number: | 2017502949 |
| NPI Enumeration Date: | 07/14/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251S0007X |
| License Number: | QA08961 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Sports |
| Taxonomy Definition: | |