Provider Demographics
NPI:1720250699
Name:DEBBY MOONEY, PT, LLC
Entity Type:Organization
Organization Name:DEBBY MOONEY, PT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBBY
Authorized Official - Middle Name:
Authorized Official - Last Name:MOONEY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:908-670-0547
Mailing Address - Street 1:243 TOMS RIVER RD
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08527-3717
Mailing Address - Country:US
Mailing Address - Phone:908-670-0547
Mailing Address - Fax:
Practice Address - Street 1:243 TOMS RIVER RD
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:NJ
Practice Address - Zip Code:08527-3717
Practice Address - Country:US
Practice Address - Phone:908-670-0547
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-31
Last Update Date:2016-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center