Ivy Dechavez PT

NPI 1184807596 - Physical Therapist - 225100000X

NPI Details
NPI 1184807596
Gender Female
Enumeration Date 12/07/2007
Last Updated 12/07/2007
Entity Type Individual
Active Over 8 years ago
Practice Location
5 EMERSON DR
APT. C
MAPLE SHADE NJ, 08052-7494, US
Phone (800) 950-6066
Fax
Business Location
5 EMERSON DR
APT. C
MAPLE SHADE NJ, 08052-7494, US
Phone (800) 950-6066
Fax
Toxanomy
Taxonomy Code 225100000X
License State New Jersey
License Number 40QA01205000
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According to our database, Ivy Dechavez PT NPI is 1184807596, taxonomy code is 225100000X and license number is 40QA01205000, license state is located at New Jersey. Ivy Dechavez PT physically located at 5 Emerson Dr, Maple Shade NJ, 08052-7494. NPI Number Ivy Dechavez PT has the Individual type.

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1184807596 NPI number is provided on an as is basis without warranty of any kind. 1184807596 is maintained by the National Plan & Provider Enumeration System. The contents of Ivy Dechavez PT are for informational purposes only.