Provider Demographics
NPI:1699914440
Name:HERGET, LENORE JANE (MED, DPT)
Entity type:Individual
Prefix:DR
First Name:LENORE
Middle Name:JANE
Last Name:HERGET
Suffix:
Gender:F
Credentials:MED, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 ESSEX ST
Mailing Address - Street 2:
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02188-3521
Mailing Address - Country:US
Mailing Address - Phone:781-812-0424
Mailing Address - Fax:
Practice Address - Street 1:175 ESSEX ST
Practice Address - Street 2:
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02188-3521
Practice Address - Country:US
Practice Address - Phone:781-812-0424
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-18
Last Update Date:2009-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA18535225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist