Provider Demographics
NPI:1346297470
Name:DEHEER, JANE (DPT)
Entity Type:Individual
Prefix:DR
First Name:JANE
Middle Name:
Last Name:DEHEER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 BURNT MILL RD
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-3903
Mailing Address - Country:US
Mailing Address - Phone:856-354-8040
Mailing Address - Fax:856-354-8042
Practice Address - Street 1:125 BURNT MILL RD
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-3903
Practice Address - Country:US
Practice Address - Phone:856-354-8040
Practice Address - Fax:856-354-8042
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA006324225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist