Provider Demographics
NPI:1255708418
Name:BARLOW, HEATHER ANN (PT)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:ANN
Last Name:BARLOW
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:
Other - Last Name:DICRESCENZO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1801 ATLANTIC AVE FL 1
Mailing Address - Street 2:
Mailing Address - City:ATLANTIC CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08401-6804
Mailing Address - Country:US
Mailing Address - Phone:609-570-2400
Mailing Address - Fax:609-541-4131
Practice Address - Street 1:77 MARKET ST STE B
Practice Address - Street 2:
Practice Address - City:PALMYRA
Practice Address - State:VA
Practice Address - Zip Code:22963-4687
Practice Address - Country:US
Practice Address - Phone:434-510-7301
Practice Address - Fax:434-510-7418
Is Sole Proprietor?:No
Enumeration Date:2015-08-24
Last Update Date:2019-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01622100225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist