Individual
HEATHER LYNN SCANNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MPT
Contact information
Practice address
35 BEAVERSON BLVD, BLD. 13 B, BRICK, NJ 08723-7812
(732) 920-7070
Mailing address
706 CEDAR POINT COURT, TOMS RIVER, NJ 08757
(732) 505-0479
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00923200
NJ
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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