Provider Demographics
NPI:1700945532
Name:FEE, EILEEN (PT)
Entity type:Individual
Prefix:MISS
First Name:EILEEN
Middle Name:
Last Name:FEE
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 1:100 CAMPUS DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:MORGANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07751-1282
Mailing Address - Country:US
Mailing Address - Phone:732-591-9494
Mailing Address - Fax:732-591-8850
Practice Address - Street 1:100 CAMPUS DR
Practice Address - Street 2:SUITE 102
Practice Address - City:MORGANVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07751-1282
Practice Address - Country:US
Practice Address - Phone:732-591-9494
Practice Address - Fax:732-591-8850
Is Sole Proprietor?:No
Enumeration Date:2006-12-07
Last Update Date:2015-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00451400225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1700945532OtherNPI NUMBER