Provider Demographics
NPI:1528033024
Name:BRIGGS, HEATHER KATHLEEN (DPT)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:KATHLEEN
Last Name:BRIGGS
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 1:20 PICKWICK DR
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-3817
Mailing Address - Country:US
Mailing Address - Phone:856-396-3069
Mailing Address - Fax:
Practice Address - Street 1:1561 ROUTE 38 WEST
Practice Address - Street 2:SUITE 5
Practice Address - City:LUMBERTON
Practice Address - State:NJ
Practice Address - Zip Code:08048
Practice Address - Country:US
Practice Address - Phone:609-261-5656
Practice Address - Fax:609-261-6432
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-20
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA009590225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist