Provider Demographics
NPI:1316254691
Name:BARONE, HEATHER (CMT)
Entity type:Individual
Prefix:MISS
First Name:HEATHER
Middle Name:
Last Name:BARONE
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 MILLSTREAM RD
Mailing Address - Street 2:
Mailing Address - City:PINE HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08021-6467
Mailing Address - Country:US
Mailing Address - Phone:856-292-3819
Mailing Address - Fax:
Practice Address - Street 1:3 E MANTUA AVE
Practice Address - Street 2:
Practice Address - City:WENONAH
Practice Address - State:NJ
Practice Address - Zip Code:08090-1964
Practice Address - Country:US
Practice Address - Phone:856-292-3819
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-08
Last Update Date:2010-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist