| Island Therapy Llc | |
|
306 Island Ln Egg Harbor Township NJ 08234-6986 | |
| (856) 725-0076 | |
| Not Available |
| Full Name | Island Therapy Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 306 Island Ln, Egg Harbor Township, New Jersey |
| Authorized Official Name and Position | Anjennett Corry (OWNER) |
| Authorized Official Contact | 8567250076 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Island Therapy Llc 306 Island Ln Egg Harbor Township NJ 08234-6986 Ph: (856) 725-0076 | Island Therapy Llc 306 Island Ln Egg Harbor Township NJ 08234-6986 Ph: (856) 725-0076 |
| NPI Number | 1255922639 |
|---|---|
| Provider Enumeration Date | 01/28/2021 |
| Last Update Date | 01/28/2021 |
| Certification Date | 01/27/2021 |
| Medicare PECOS PAC ID | 6800295122 |
|---|---|
| Medicare Enrollment ID | O20210518002923 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255922639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Anjennett Corry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629622154 PECOS PAC ID: 7618376930 Enrollment ID: I20210519000136 |
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