Provider Demographics
NPI:1689751422
Name:MACFARLANE, DENISE (PT)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:
Last Name:MACFARLANE
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 1:2105 W COUNTY LINE RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:JACKSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08527-2301
Mailing Address - Country:US
Mailing Address - Phone:732-730-0505
Mailing Address - Fax:732-730-1125
Practice Address - Street 1:2105 W COUNTY LINE RD
Practice Address - Street 2:SUITE 5
Practice Address - City:JACKSON
Practice Address - State:NJ
Practice Address - Zip Code:08527-2301
Practice Address - Country:US
Practice Address - Phone:732-730-0505
Practice Address - Fax:732-730-1125
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJQA 03524225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist