| Doctor Name: | PAIGE VAN DIEN |
| NPI Number: | 1164709267 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 40QA01416800 |
| Business Practice Address: | 84 Orient Way Rutherford, NJ - 070702052 |
| Business Phone Number: | 2019640200 |
| Business Fax Number: | 2019640220 |
| Mailing Address: | 31 Devon St, NORTH ARLINGTON |
| State: | NJ |
| Postal Code: | 070316537 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 11/03/2011 |
| NPI Last Update Date: | 11/03/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 40QA01416800 |
| 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 |