Individual
DR. AMANDA MARIE HERITAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
91 STOKES RD, SHAMONG, NJ 08088-9449
(856) 905-4712
Mailing address
91 STOKES RD, SHAMONG, NJ 08088-9449
(856) 905-4712
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01426900
NJ
Other
Enumeration date
12/13/2012
Last updated
12/13/2012
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