| Doctor Name: | MRS. YVONNE HUBERTINA DI EDWARDO |
| NPI Number: | 1144508169 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 40QA00408400 |
| Business Practice Address: | 99 Ridgedale Ave Cedar Knolls, NJ - 079271634 |
| Business Phone Number: | 9738895382 |
| Business Fax Number: | |
| Mailing Address: | 2 Dean Gallo Ct, MORRIS PLAINS |
| State: | NJ |
| Postal Code: | 079503446 |
| Phone Number: | 9733591229 |
| Fax Number: | |
| NPI Enumeration Date: | 07/25/2011 |
| NPI Last Update Date: | 07/25/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 40QA00408400 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |