Provider Demographics
NPI:1780303016
Name:VAN DER VEER, CALEIGH ROSE
Entity type:Individual
Prefix:
First Name:CALEIGH
Middle Name:ROSE
Last Name:VAN DER VEER
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 1:4 TULSA CT
Mailing Address - Street 2:
Mailing Address - City:MONMOUTH JUNCTION
Mailing Address - State:NJ
Mailing Address - Zip Code:08852-3102
Mailing Address - Country:US
Mailing Address - Phone:732-991-7605
Mailing Address - Fax:
Practice Address - Street 1:44 BRIDGE ST
Practice Address - Street 2:
Practice Address - City:METUCHEN
Practice Address - State:NJ
Practice Address - Zip Code:08840-2278
Practice Address - Country:US
Practice Address - Phone:732-662-1800
Practice Address - Fax:732-662-1801
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-22
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR01067800225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist