Provider Demographics
NPI:1720044985
Name:HUNTER, JUDITH (PT)
Entity Type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:
Last Name:HUNTER
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 1:151 MERCER AVE
Mailing Address - Street 2:
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080-1307
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:935 KINGS HWY
Practice Address - Street 2:STE 600
Practice Address - City:THOROFARE
Practice Address - State:NJ
Practice Address - Zip Code:08086-2238
Practice Address - Country:US
Practice Address - Phone:856-845-7473
Practice Address - Fax:856-879-0117
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00481200225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist