Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS GINA OTILIA HEREDEA, P.T.
Active Sole ProprietorMISS GINA OTILIA HEREDEA, P.T. is a Physical Therapy Assistant healthcare provider located in FORT LEE, New Jersey. NPI 1003984451 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · FORT LEE, NJ
Registration Details
- NPI Number
- 1003984451
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 2, 2006 (19.514322107006 yrs)
- Last Updated
- Jul 8, 2007
- License
-
40QA01089000 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6 HORIZON RD APT 512FORT LEE, NJ, 070246606Browse NJ providers · Browse ZIP 07024
- Phone
- 5512210660
- Fax
- 2012243409
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in FORT LEE, NJ
| Name | Credential | NPI |
|---|---|---|
| MRS. ROBERTA DIANE GEISENHEIMER | P.T. | 1407823883 |
| SANG-UK LEE | P.T | 1992817852 |
| SUNG BAM WEE | PT | 1467552182 |
| JENNIFER SCHAEFER HEPSEN | D.P.T. | 1073676441 |
| GARY FLINK | M.S.P.T. | 1063575488 |
| LAURA TAYLOR | D.P.T. | 1992868376 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.