Provider Demographics
NPI:1619063054
Name:DEBREE, VICKI LEE JAMIE (MS,OTR/L)
Entity Type:Individual
Prefix:
First Name:VICKI LEE
Middle Name:JAMIE
Last Name:DEBREE
Suffix:
Gender:F
Credentials:MS,OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 LYNN DR
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-5215
Mailing Address - Country:US
Mailing Address - Phone:732-300-3068
Mailing Address - Fax:
Practice Address - Street 1:1747 HOOPER AVE
Practice Address - Street 2:SUITE 13
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-8165
Practice Address - Country:US
Practice Address - Phone:732-255-4334
Practice Address - Fax:732-279-1296
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00290000225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand