Individual
DIANE GLADY'S HERRIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
380 DEMOTT LANE, SOMERSET, NJ 08873
(732) 873-2000
Mailing address
221 LEDDEN TERRACE, SOUTH PLAINFIELD, NJ 07080-2142
(908) 757-9187
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00028100
NJ
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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