Provider Demographics
NPI:1346447141
Name:HUMMER, AMBER L (DPT)
Entity Type:Individual
Prefix:DR
First Name:AMBER
Middle Name:L
Last Name:HUMMER
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 1:70 HILL ST
Mailing Address - Street 2:APT #8
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-5383
Mailing Address - Country:US
Mailing Address - Phone:973-998-4921
Mailing Address - Fax:
Practice Address - Street 1:15 HALKO DR
Practice Address - Street 2:
Practice Address - City:CEDAR KNOLLS
Practice Address - State:NJ
Practice Address - Zip Code:07927-1306
Practice Address - Country:US
Practice Address - Phone:973-829-8484
Practice Address - Fax:973-829-8485
Is Sole Proprietor?:No
Enumeration Date:2007-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA011594002251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics