Provider Demographics
NPI:1407611510
Name:DAPLIN-STECH, AMABELLE
Entity Type:Individual
Prefix:
First Name:AMABELLE
Middle Name:
Last Name:DAPLIN-STECH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 THE ESPLANADE
Mailing Address - Street 2:
Mailing Address - City:MAYWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07607-1930
Mailing Address - Country:US
Mailing Address - Phone:917-650-9633
Mailing Address - Fax:
Practice Address - Street 1:411 THE ESPLANADE
Practice Address - Street 2:
Practice Address - City:MAYWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07607-1930
Practice Address - Country:US
Practice Address - Phone:917-650-9633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-19
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA009540002251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics