| Doctor Name: | MR. JEFFREY THOMAS DE BELLIS |
| NPI Number: | 1154427912 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT, MS, OCS |
| License Number: | 40QA01023300 |
| Business Practice Address: | 1055 Hamburg Tpke Wayne, NJ - 074703235 |
| Business Phone Number: | 9733050064 |
| Business Fax Number: | 9733050074 |
| Mailing Address: | Po Box 264, PARAMUS |
| State: | NJ |
| Postal Code: | 076530264 |
| Phone Number: | 9733050064 |
| Fax Number: | 9733050074 |
| NPI Enumeration Date: | 09/16/2006 |
| NPI Last Update Date: | 07/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 40QA01023300 |
| 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 |