Jacob Garcia Lindstrom, | |
2605 Route 130 S, Cinnaminson, NJ 08077-3077 | |
(856) 288-7230 | |
Not Available |
Full Name | Jacob Garcia Lindstrom |
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Gender | Male |
Speciality | Physical Therapist |
Location | 2605 Route 130 S, Cinnaminson, 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 |
---|---|---|---|
1033940473 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 40QA02270800 (New Jersey) | Primary |
Provider Name | Ivyrehab Network Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1861623753 PECOS PAC ID: 3476539776 Enrollment ID: O20040628000865 |
Mailing Address | Practice Location Address |
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Jacob Garcia Lindstrom, 2605 Route 130 S, Cinnaminson, NJ 08077-3077 Ph: () - | Jacob Garcia Lindstrom, 2605 Route 130 S, Cinnaminson, NJ 08077-3077 Ph: (856) 288-7230 |
Michael Labrie, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2103 Branch Pike Ste 2, Cinnaminson, NJ 08077 Phone: 856-543-4427 | |
Heather Pacella, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2200 Wallace Blvd Ste E, Cinnaminson, NJ 08077 Phone: 856-829-0015 Fax: 856-829-0043 | |
John Gillam, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2200 Wallace Blvd, Suite E, Cinnaminson, NJ 08077 Phone: 856-829-0015 Fax: 856-829-0043 | |
Victoria Aromando Bersch, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1700 Wynwood Dr, Cinnaminson, NJ 08077 Phone: 856-829-9000 Fax: 856-786-8130 | |
Jennifer Lauren Laser, M.S.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2200 Wallace Blvd, Suite E, Cinnaminson, NJ 08077 Phone: 856-829-0015 Fax: 856-829-0043 | |
Ms. Pamela J Steelman, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2200 Wallace Blvd Ste E, Cinnaminson, NJ 08077 Phone: 856-829-0015 Fax: 856-829-0043 |