| |
84 E Grant St, Suite #2, Woodstown, NJ 08098-1400 | |
(856) 769-4564 | |
(856) 769-4637 |
Full Name | |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 84 E Grant St, Woodstown, New Jersey |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205387248 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
225100000X | Physical Therapist | 40QA00312300 (New Jersey) | Primary |
Mailing Address | Practice Location Address |
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84 E Grant St, Suite #2, Woodstown, NJ 08098-1400 Ph: () - | 84 E Grant St, Suite #2, Woodstown, NJ 08098-1400 Ph: (856) 769-4564 |