Provider Demographics
NPI:1750390639
Name:HEPLER, JEFFREY B (PT)
Entity type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:B
Last Name:HEPLER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 CAROLINE COURT
Mailing Address - Street 2:
Mailing Address - City:PILESGROVE
Mailing Address - State:NJ
Mailing Address - Zip Code:08098
Mailing Address - Country:US
Mailing Address - Phone:856-769-0747
Mailing Address - Fax:
Practice Address - Street 1:389 HARDING HWY
Practice Address - Street 2:STE 2 HEARTLAND REHABILITATION SERVICES OF NEW JERSEY
Practice Address - City:PITTSGROVE
Practice Address - State:NJ
Practice Address - Zip Code:08318
Practice Address - Country:US
Practice Address - Phone:856-358-4500
Practice Address - Fax:856-358-4502
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00385800225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist