Individual
HEATHER DEGUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
315 STATE ROUTE 35, RED BANK, NJ 07701-5913
(732) 224-8355
(732) 855-9755
Mailing address
9 REBECCA CT, OLD BRIDGE, NJ 08857-2317
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01744600
NJ
2251P0200X
Pediatric Physical Therapist
40QA01744600
NJ
Other
Enumeration date
09/29/2017
Last updated
10/24/2019
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