Provider Demographics
NPI:1881806271
Name:HARVEY, JAMES B (PT)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:B
Last Name:HARVEY
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 1:15 HUFF RD
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-2931
Mailing Address - Country:US
Mailing Address - Phone:973-568-9098
Mailing Address - Fax:
Practice Address - Street 1:15 HUFF RD
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-2931
Practice Address - Country:US
Practice Address - Phone:973-568-9098
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-05
Last Update Date:2007-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00274000171W00000X, 2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
No171W00000XOther Service ProvidersContractor