Provider Demographics
NPI:1376502963
Name:DANNEHOWER, DOUGLAS ANDREW (PT, OCS)
Entity Type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:ANDREW
Last Name:DANNEHOWER
Suffix:
Gender:M
Credentials:PT, OCS
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Mailing Address - Street 1:210 S SHORE RD STE 203
Mailing Address - Street 2:
Mailing Address - City:MARMORA
Mailing Address - State:NJ
Mailing Address - Zip Code:08223-1271
Mailing Address - Country:US
Mailing Address - Phone:609-309-2400
Mailing Address - Fax:609-390-9587
Practice Address - Street 1:210 S SHORE RD STE 203
Practice Address - Street 2:
Practice Address - City:MARMORA
Practice Address - State:NJ
Practice Address - Zip Code:08223-1271
Practice Address - Country:US
Practice Address - Phone:609-309-2400
Practice Address - Fax:609-390-9587
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2020-08-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ40QA00338000225100000X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist