Healthcare Provider Details

I. General information

NPI: 1568772887
Provider Name (Legal Business Name): DEBRA BAXTER MANN P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DEBRA ANNE BAXTER P.T.

II. Dates (important events)

Enumeration Date: 10/20/2010
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

84 COLD HILL RD.
MENDHAM NJ
07945-0000
US

IV. Provider business mailing address

84 COLD HILL ROAD
MENDHAM NJ
07945-0001
US

V. Phone/Fax

Practice location:
  • Phone: 973-543-2500
  • Fax:
Mailing address:
  • Phone: 973-543-2500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA00348500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: