Individual
HEATHER DIMENNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
452 US HIGHWAY 206, MONTAGUE, NJ 07827-3045
(973) 293-0010
(973) 293-0018
Mailing address
PO BOX 416495, BOSTON, MA 02241-6495
(631) 580-5200
(631) 580-5222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01358100
NJ
Other
Enumeration date
07/19/2010
Last updated
07/19/2010
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