Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225CA2400X | Assistive Technology Practitioner | 4752 | NJ |
NPI | 1487262101 |
---|---|
Provider Name | Miss Jeannette Frances Vanhouten |
First Address | Union Beach, NJ 07735-2905 |
Second Address | Union Beach, NJ 07735-2905 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2020 |
Last Update Date | 20/07/2020 |