SearchNew Jersey363LA2200X

Rebecca Headley

NPI 1720465958 · on the registry since 2015

Practice

Address
1003 Mallard Way
Pittsgrove, NJ 08318
Phone
(856) 689-7151

Additional practice sites

  • 6076 Franconia Rd Ste D, Alexandria, VA

Registry record

Primary taxonomy
363LA2200X
363LA2200X
Also registered as
363L00000X
Licence states on file
VA, NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-02-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey