Doctor Name: | PAUL MICHAEL DELLAVECCHIA |
NPI Number: | 1790703718 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSPT |
License Number: | 40QA00867100 |
Business Practice Address: | 9 Somerdale Sq Somerdale, NJ - 080831345 |
Business Phone Number: | 8565661311 |
Business Fax Number: | 8565661331 |
Mailing Address: | 9 Somerdale Sq, SOMERDALE |
State: | NJ |
Postal Code: | 080831345 |
Phone Number: | 8565661311 |
Fax Number: | 8565661331 |
NPI Enumeration Date: | 07/17/2006 |
NPI Last Update Date: | 11/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 40QA00867100 |
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 |