Provider Demographics
NPI:1386011583
Name:HALBERT, DAVID (DPT)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:
Last Name:HALBERT
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 ROUTE 34
Mailing Address - Street 2:SUITE 210
Mailing Address - City:COLTS NECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07722-2433
Mailing Address - Country:US
Mailing Address - Phone:732-625-0170
Mailing Address - Fax:732-625-0180
Practice Address - Street 1:4 WALTER E FORAN BLVD
Practice Address - Street 2:SUITE 203
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-4664
Practice Address - Country:US
Practice Address - Phone:908-237-0000
Practice Address - Fax:908-237-0001
Is Sole Proprietor?:No
Enumeration Date:2015-08-24
Last Update Date:2015-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01627300225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist