Provider Demographics
NPI:1982646824
Name:HARREWIJN, AALTJE MARIA VINJE (PT)
Entity Type:Individual
Prefix:
First Name:AALTJE MARIA
Middle Name:VINJE
Last Name:HARREWIJN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2226 NELSON HWY
Mailing Address - Street 2:STE H
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-7883
Mailing Address - Country:US
Mailing Address - Phone:919-493-1170
Mailing Address - Fax:919-493-1640
Practice Address - Street 1:2226 NELSON HWY
Practice Address - Street 2:STE H
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-7883
Practice Address - Country:US
Practice Address - Phone:919-493-1170
Practice Address - Fax:919-493-1640
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2008-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10255225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist