National Provider Identifier Database

KAREN L TYSONVONDERHEYDE, PTA – NPI #1982976072
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

KAREN L TYSONVONDERHEYDE, PTA
2 HILLSIDE AVE
MOUNT ARLINGTON, NJ07856
Phone: 973-601-0988
Fax:
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for KAREN L TYSONVONDERHEYDE

NPI Number 1982976072
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 02/03/2012
Last updated 02/03/2012 - About 14 years ago
Sole proprietor1 No
Identifiers
  • NJ License #: PTA40QB00180800
  • NJ Other: 00180800 NEW JERSEY STATE OF PHYSICAL THERAPY
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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