Brooke Wasco, PT, DPT | |
175 Route 70 Ste 19, Medford, NJ 08055-2355 | |
(609) 714-3378 | |
Not Available |
Full Name | Brooke Wasco |
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Gender | Female |
Speciality | Physical Therapist |
Location | 175 Route 70 Ste 19, Medford, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669256988 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 40QA02199000 (New Jersey) | Primary |
Provider Name | Ipta Clinical, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1760764484 PECOS PAC ID: 0749456119 Enrollment ID: O20120106000040 |
Mailing Address | Practice Location Address |
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Brooke Wasco, PT, DPT 3 Hornsby Dr, Marlton, NJ 08053-1927 Ph: (609) 417-5042 | Brooke Wasco, PT, DPT 175 Route 70 Ste 19, Medford, NJ 08055-2355 Ph: (609) 714-3378 |
Mrs. Catherine Michalsky Heino, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 29 Huntington Circle Dr, Medford, NJ 08055 Phone: 609-462-2092 Fax: 609-953-6990 | |
Mark William Butler, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 128 Route 70, Suite 2c, Medford, NJ 08055 Phone: 609-953-7227 | |
Hailey Ann Layton, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 128 Route 70 Ste 2c, Medford, NJ 08055 Phone: 609-953-7222 | |
Dr. Daniel Gorenberg, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 175 Route 70 Ste 19, Medford, NJ 08055 Phone: 609-714-3378 | |
Joseph M Bodnar, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 131 Route 70, Medford, NJ 08055 Phone: 856-533-0920 | |
Mr. Joseph M Moore, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 176 Route 70, Suite 10, Medford, NJ 08055 Phone: 609-714-7733 Fax: 609-714-7750 | |
Mrs. Donna M Sherman, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Medford Leas, Medford, NJ 08055 Phone: 609-654-3069 |