Jenna Marie Tambasco, PT, DPT | |
212 State Rt 94 Unit 2g2h, Vernon, NJ 07462-3328 | |
(973) 209-0086 | |
Not Available |
Full Name | Jenna Marie Tambasco |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 212 State Rt 94 Unit 2g2h, Vernon, 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 |
---|---|---|---|
1558831313 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 40QA01830500 (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 |
---|---|
Jenna Marie Tambasco, PT, DPT 23 Sandra Ln, Sparta, NJ 07871-2846 Ph: (862) 266-6594 | Jenna Marie Tambasco, PT, DPT 212 State Rt 94 Unit 2g2h, Vernon, NJ 07462-3328 Ph: (973) 209-0086 |
Sarina Lavooy, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 212 Route 94, Ste 2f, Vernon, NJ 07462 Phone: 973-209-0086 | |
Mrs. Diane Platz, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 418 State Rt 515, Vernon, NJ 07462 Phone: 973-764-6136 Fax: 973-764-4515 | |
Mr. Elmer R Platz, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 418 State Rt 515, Vernon, NJ 07462 Phone: 973-764-6136 Fax: 973-764-4515 | |
Kori Jean Postma, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 212 State Rt 94, 2f, Vernon, NJ 07462 Phone: 973-209-0086 | |
Edward Sandgran, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 212 State Route 94, Suite 2f, Vernon, NJ 07462 Phone: 973-209-0086 Fax: 973-209-8642 | |
Elizabeth Adams, Physical Therapist Medicare: Medicare Enrolled Practice Location: 212 State Rt 94, Vernon, NJ 07462 Phone: 973-209-0086 |