Provider Demographics
NPI:1629196506
Name:VAN BOCHOVE, YVONNE P (PT,DPT,MA)
Entity Type:Individual
Prefix:DR
First Name:YVONNE
Middle Name:P
Last Name:VAN BOCHOVE
Suffix:
Gender:F
Credentials:PT,DPT,MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1255 CALDWELL RD
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034-3220
Mailing Address - Country:US
Mailing Address - Phone:856-348-1209
Mailing Address - Fax:856-429-4755
Practice Address - Street 1:666 PLAINSBORO RD
Practice Address - Street 2:2000 C
Practice Address - City:PLAINSBORO
Practice Address - State:NJ
Practice Address - Zip Code:08536-3030
Practice Address - Country:US
Practice Address - Phone:609-799-8400
Practice Address - Fax:856-429-4755
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2015-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00519800225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ159418Medicare PIN