Provider Demographics
NPI:1861509945
Name:HEYMAN, ESTHEROSE (PT)
Entity type:Individual
Prefix:MS
First Name:ESTHEROSE
Middle Name:
Last Name:HEYMAN
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 1:1518 SQUIRE LN
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-1537
Mailing Address - Country:US
Mailing Address - Phone:856-424-6352
Mailing Address - Fax:856-424-3344
Practice Address - Street 1:300 CAMPUS DR STE A
Practice Address - Street 2:RR # 30
Practice Address - City:MOUNT HOLLY
Practice Address - State:NJ
Practice Address - Zip Code:08060-9604
Practice Address - Country:US
Practice Address - Phone:609-261-3434
Practice Address - Fax:609-261-8632
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00269500225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist