Kelsey Rose Dewitt, PT, DPT | |
160 E Erie Ave, Philadelphia, PA 19134-1011 | |
(215) 427-5497 | |
Not Available |
Full Name | Kelsey Rose Dewitt |
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Gender | Female |
Speciality | Physical Therapist |
Location | 160 E Erie Ave, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083263644 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 027970 (Pennsylvania) | Primary |
Provider Name | Stc Pediatrics Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1144864547 PECOS PAC ID: 7315372323 Enrollment ID: O20200122001254 |
Mailing Address | Practice Location Address |
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Kelsey Rose Dewitt, PT, DPT Po Box 13579, Reading, PA 19612-3579 Ph: (484) 628-1324 | Kelsey Rose Dewitt, PT, DPT 160 E Erie Ave, Philadelphia, PA 19134-1011 Ph: (215) 427-5497 |
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Doriean Broady, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4902 Arch St Unit 1, Philadelphia, PA 19139 Phone: 585-944-7961 | |
Jennifer Anne Ellis, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1923 Bainbridge St, Philadelphia, PA 19146 Phone: 215-469-1832 | |
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