Provider Demographics
NPI:1568642668
Name:HOOTEN, DENISE (PT,MA)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:
Last Name:HOOTEN
Suffix:
Gender:F
Credentials:PT,MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 RIPPLING BROOK DR
Mailing Address - Street 2:
Mailing Address - City:SHORT HILLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07078-1326
Mailing Address - Country:US
Mailing Address - Phone:973-921-9117
Mailing Address - Fax:973-921-1698
Practice Address - Street 1:3 RIPPLING BROOK DR
Practice Address - Street 2:
Practice Address - City:SHORT HILLS
Practice Address - State:NJ
Practice Address - Zip Code:07078-1326
Practice Address - Country:US
Practice Address - Phone:973-921-1177
Practice Address - Fax:973-921-1698
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-06
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00152600225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist