Individual
DEBORAH HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2475 MCCLELLAN AVE, PENNSAUKEN, NJ 08109-4683
(856) 675-3355
Mailing address
2475 MCCLELLAN AVE, PENNSAUKEN, NJ 08109-4683
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00568900
NJ
Other
Enumeration date
08/02/2012
Last updated
08/02/2012
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