Gloucester Physical Therapy, Pc | |
541 Mantua Ave, Paulsboro, NJ 08066-1178 | |
(856) 224-0400 | |
(856) 224-0466 |
Full Name | Gloucester Physical Therapy, Pc |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 541 Mantua Ave, Paulsboro, New Jersey |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295837722 | NPI | - | NPPES |
2410631000 | Other | NJ | AMERIHEALTH IND. ID # |
2410669000 | Other | NJ | AMERIHEALTH GROUP ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 40QA00685900 (New Jersey) | Primary |
Mailing Address | Practice Location Address |
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Gloucester Physical Therapy, Pc Po Box 277, Paulsboro, NJ 08066-0277 Ph: (856) 224-0400 | Gloucester Physical Therapy, Pc 541 Mantua Ave, Paulsboro, NJ 08066-1178 Ph: (856) 224-0400 |
Mr. Maikutlo B Kebaetse, PH.D, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 541 Mantua Ave, Paulsboro, NJ 08066 Phone: 185-622-4000 Fax: 856-224-0466 | |
Mr. Kenneth Daniel Hollingsworth, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 550 Jessup Rd, Paulsboro, NJ 08066 Phone: 856-848-9551 |