Georgette Costello, PT | |
28 W Hollywood Ln, Marmora, NJ 08223-1756 | |
(609) 602-3228 | |
Not Available |
Full Name | Georgette Costello |
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Gender | Female |
Speciality | Physical Therapist |
Location | 28 W Hollywood Ln, Marmora, 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 |
---|---|---|---|
1306313507 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 40QA00548700 (New Jersey) | Primary |
Provider Name | Wellness Centers Of South Jersey Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1811773385 PECOS PAC ID: 2062862766 Enrollment ID: O20231221000146 |
Mailing Address | Practice Location Address |
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Georgette Costello, PT 28 W Hollywood Ln, Marmora, NJ 08223-1756 Ph: (609) 602-3228 | Georgette Costello, PT 28 W Hollywood Ln, Marmora, NJ 08223-1756 Ph: (609) 602-3228 |
Justin Michael Kulp, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4 W Roosevelt Blvd Unit 9, Marmora, NJ 08223 Phone: 609-545-0030 | |
Mr. Matthew J Redmond, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 210 S Shore Rd Ste 203, Marmora, NJ 08223 Phone: 609-390-2400 Fax: 609-390-9587 | |
Rod Anthony Brigoli Rubi, Physical Therapist Medicare: Medicare Enrolled Practice Location: 210 S Shore Rd Ste 203, Marmora, NJ 08223 Phone: 609-390-2400 Fax: 609-390-9587 | |
Mr. John Richard Thomas Iii Iii, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 210 S Shore Rd, Suite 203, Marmora, NJ 08223 Phone: 609-390-2400 Fax: 609-390-9587 | |
Douglas Andrew Dannehower, PT, OCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 210 S Shore Rd Ste 203, Marmora, NJ 08223 Phone: 609-309-2400 Fax: 609-390-9587 | |
Rachel Nicole Hiester, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 210 S Shore Rd, Suite 203, Marmora, NJ 08223 Phone: 609-390-2400 Fax: 609-390-9587 |