Doctor Name: | ANTHONY VASTANO |
NPI Number: | 1942383039 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RPT |
License Number: | 40QA00452300 |
Business Practice Address: | 175 Cross Keys Rd Suite 300 A Berlin, NJ - 080099263 |
Business Phone Number: | 8567670077 |
Business Fax Number: | |
Mailing Address: | 175 Cross Keys Rd, BERLIN |
State: | NJ |
Postal Code: | 080099263 |
Phone Number: | 8567670077 |
Fax Number: | |
NPI Enumeration Date: | 10/23/2006 |
NPI Last Update Date: | 01/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 40QA00452300 |
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 |