Provider Demographics
NPI:1295973733
Name:VU, QUYNHMAI (MSPT)
Entity type:Individual
Prefix:
First Name:QUYNHMAI
Middle Name:
Last Name:VU
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2397 HWY 36
Mailing Address - Street 2:
Mailing Address - City:ATLANTIC HIGHLANDS
Mailing Address - State:NJ
Mailing Address - Zip Code:07716-2532
Mailing Address - Country:US
Mailing Address - Phone:732-872-6595
Mailing Address - Fax:732-872-1508
Practice Address - Street 1:2397 HWY 36
Practice Address - Street 2:
Practice Address - City:ATLANTIC HIGHLANDS
Practice Address - State:NJ
Practice Address - Zip Code:07716-2532
Practice Address - Country:US
Practice Address - Phone:732-872-6595
Practice Address - Fax:732-872-1508
Is Sole Proprietor?:No
Enumeration Date:2009-01-21
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01303300225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist