| Kennedy M Ilagan, PT/DPT | |
|
525 Route 73, Suite 303a, Marlton, NJ 08053-9644 | |
| (856) 267-5660 | |
| Not Available |
| Full Name | Kennedy M Ilagan |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 525 Route 73, Marlton, 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 |
|---|---|---|---|
| 1932988656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA02203100 (New Jersey) | Primary |
| Provider Name | Twin Boro Physical Therapy Associates, Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1811937527 PECOS PAC ID: 8527962950 Enrollment ID: O20031126000193 |
| Mailing Address | Practice Location Address |
|---|---|
| Kennedy M Ilagan, PT/DPT Po Box 1014, Clark, NJ 07066-1014 Ph: (732) 855-9751 | Kennedy M Ilagan, PT/DPT 525 Route 73, Suite 303a, Marlton, NJ 08053-9644 Ph: (856) 267-5660 |
Mrs. Deana Marie Ercolani, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 92 Brick Rd, Marlton, NJ 08053 Phone: 856-988-8778 | |
Dr. Elaine Sung, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 102 Weaver Drive, Marlton, NJ 08053 Phone: 310-880-6078 | |
Lezlie Schwartz, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3001 Lincoln Dr W, Suite I, Marlton, NJ 08053 Phone: 856-396-3173 Fax: 856-396-0063 | |
Dr. Rocco Harry Gervasi, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 245 Horseshoe Lane, Marlton, NJ 08053 Phone: 609-462-2519 | |
Mrs. Irma Tetruashvily, DPT,GCS,SCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9 Normandy Rd, Marlton, NJ 08053 Phone: 856-552-0449 Fax: 856-552-0187 | |
Dr. Korey Frederick Johnson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 999 Route 73 N, Marlton, NJ 08053 Phone: 856-821-6366 | |
Grace Coleman, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 92 Brick Rd, Marlton, NJ 08053 Phone: 856-988-8778 |