Provider Demographics
NPI:1184819708
Name:HOHENLEITNER, DEBORAH LYNN (LICENSED MASSAGE)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:LYNN
Last Name:HOHENLEITNER
Suffix:
Gender:F
Credentials:LICENSED MASSAGE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 GREGORY DR
Mailing Address - Street 2:
Mailing Address - City:FLORHAM PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07932-1805
Mailing Address - Country:US
Mailing Address - Phone:973-879-1958
Mailing Address - Fax:
Practice Address - Street 1:3 GREGORY DR
Practice Address - Street 2:
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932-1805
Practice Address - Country:US
Practice Address - Phone:973-879-1958
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-06
Last Update Date:2007-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017487174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist