Provider Demographics
NPI:1245792738
Name:GILBERT-ROGERS, DEBORAH (MA, LMT)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:GILBERT-ROGERS
Suffix:
Gender:F
Credentials:MA, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 HILLVIEW DR
Mailing Address - Street 2:
Mailing Address - City:NEPTUNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-3537
Mailing Address - Country:US
Mailing Address - Phone:908-433-8469
Mailing Address - Fax:
Practice Address - Street 1:20 HILLVIEW DR
Practice Address - Street 2:
Practice Address - City:NEPTUNE
Practice Address - State:NJ
Practice Address - Zip Code:07753-3537
Practice Address - Country:US
Practice Address - Phone:908-433-8469
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-03
Last Update Date:2019-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ18KT00946300225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist