Provider Demographics
NPI:1801010103
Name:TEPPER, DENISE MARY (MS, PT)
Entity Type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:MARY
Last Name:TEPPER
Suffix:
Gender:F
Credentials:MS, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SHORE REHABILITATION SERVICE
Mailing Address - Street 2:ONE INDUSTRIAL WAY WEST WEST RIDGE BUILDING A.
Mailing Address - City:EATONTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07724
Mailing Address - Country:US
Mailing Address - Phone:732-542-9222
Mailing Address - Fax:732-542-2283
Practice Address - Street 1:1 INDUSTRIAL WAY W
Practice Address - Street 2:
Practice Address - City:EATONTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07724-2255
Practice Address - Country:US
Practice Address - Phone:732-542-9222
Practice Address - Fax:732-542-2283
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2019-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist