Provider Demographics
NPI:1285925149
Name:WEHNER, DEBORAH (DPT)
Entity type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:
Last Name:WEHNER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MS
Other - First Name:DEBORAH
Other - Middle Name:
Other - Last Name:SANTIAGO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:26 MADISON ST
Mailing Address - Street 2:
Mailing Address - City:LOGAN TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08085-1531
Mailing Address - Country:US
Mailing Address - Phone:856-241-3280
Mailing Address - Fax:
Practice Address - Street 1:603 N BROAD ST
Practice Address - Street 2:SUITE 100
Practice Address - City:WOODBURY
Practice Address - State:NJ
Practice Address - Zip Code:08096-1619
Practice Address - Country:US
Practice Address - Phone:856-845-4488
Practice Address - Fax:856-853-5256
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-27
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01393500225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist