Provider Demographics
NPI:1598807836
Name:BIGGS, MICHELLE JEAN (PT)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:JEAN
Last Name:BIGGS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07080-4541
Mailing Address - Country:US
Mailing Address - Phone:908-754-5791
Mailing Address - Fax:
Practice Address - Street 1:4500 NEW BRUNSWICK AVE
Practice Address - Street 2:
Practice Address - City:PISCATAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08854-3870
Practice Address - Country:US
Practice Address - Phone:732-926-9250
Practice Address - Fax:732-926-9277
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00295900225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist