Doctor Name: | MRS. DANIELLE RESTIVO |
NPI Number: | 1679607915 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 40QA011459 |
Business Practice Address: | 1340 Campus Pkwy Wall Township, NJ - 077536829 |
Business Phone Number: | 7322333269 |
Business Fax Number: | |
Mailing Address: | 630 Susan Ln, BRIELLE |
State: | NJ |
Postal Code: | 087301736 |
Phone Number: | 7322765846 |
Fax Number: | |
NPI Enumeration Date: | 03/16/2007 |
NPI Last Update Date: | 05/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 40QA011459 |
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 |