Provider Demographics
NPI:1780743948
Name:FOOTE, DENA L (PT)
Entity type:Individual
Prefix:
First Name:DENA
Middle Name:L
Last Name:FOOTE
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 1:1 APPLEGATE LN
Mailing Address - Street 2:
Mailing Address - City:NEW EGYPT
Mailing Address - State:NJ
Mailing Address - Zip Code:08533-1303
Mailing Address - Country:US
Mailing Address - Phone:609-758-6982
Mailing Address - Fax:609-758-1810
Practice Address - Street 1:213 BENJAMIN ST
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-1473
Practice Address - Country:US
Practice Address - Phone:732-886-6996
Practice Address - Fax:732-886-8862
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00977800225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist