Healthcare Provider Details

I. General information

NPI: 1629196506
Provider Name (Legal Business Name): YVONNE P VAN BOCHOVE PT,DPT,MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 08/31/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

666 PLAINSBORO RD 2000 C
PLAINSBORO NJ
08536-3030
US

IV. Provider business mailing address

1255 CALDWELL RD
CHERRY HILL NJ
08034-3220
US

V. Phone/Fax

Practice location:
  • Phone: 609-799-8400
  • Fax: 856-429-4755
Mailing address:
  • Phone: 856-348-1209
  • Fax: 856-429-4755

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA00519800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: