Provider Demographics
NPI:1740307628
Name:PRICE, DEBORAH A (PT)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:A
Last Name:PRICE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:DEBORAH
Other - Middle Name:A
Other - Last Name:CHRISTENSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:269 STATE ROUTE 31 S
Mailing Address - Street 2:SUITE 1
Mailing Address - City:WASHINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07882-4086
Mailing Address - Country:US
Mailing Address - Phone:908-835-8533
Mailing Address - Fax:908-835-8522
Practice Address - Street 1:269 STATE ROUTE 31 S
Practice Address - Street 2:SUITE 1
Practice Address - City:WASHINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07882-4086
Practice Address - Country:US
Practice Address - Phone:908-835-8533
Practice Address - Fax:908-835-8522
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00850800225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist