Dr Taylor Michelle Wittstock, PT, DPT | |
115 N Route 73 Unit 80, West Berlin, NJ 08091-9202 | |
(856) 335-4938 | |
Not Available |
Full Name | Dr Taylor Michelle Wittstock |
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Gender | Female |
Speciality | Physical Therapist |
Location | 115 N Route 73 Unit 80, West Berlin, 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 |
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1508649807 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | 40QA02191300 (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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Dr Taylor Michelle Wittstock, PT, DPT 175 Route 70 Ste 19, Medford, NJ 08055-2355 Ph: () - | Dr Taylor Michelle Wittstock, PT, DPT 115 N Route 73 Unit 80, West Berlin, NJ 08091-9202 Ph: (856) 335-4938 |
Nathan Thomas Fullam, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 115 N Route 73 Unit 80, West Berlin, NJ 08091 Phone: 856-335-4938 | |
Sarah E Obuchowski, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 115 N Route 73 Unit 80, West Berlin, NJ 08091 Phone: 856-335-4938 | |
Alyssa Hope Mcminn, PT, DPT, LAT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 115 N Route 73 Unit 80, West Berlin, NJ 08091 Phone: 856-335-4938 | |
Christopher Patrick Niemann Jr., DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 91 Haddon Ave, West Berlin, NJ 08091 Phone: 267-250-0443 | |
Dr. Benjamin R Harris, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 115 Nj-73, Unit 80, West Berlin, NJ 08091 Phone: 856-335-4938 | |
Barbara Claire Barron, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 115 N Route 73 Unit 80, West Berlin, NJ 08091 Phone: 856-335-4938 |