Kyle V Mohan, | |
2339 Route 70 W, Cherry Hill, NJ 08002-3315 | |
(856) 414-6114 | |
Not Available |
Full Name | Kyle V Mohan |
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Gender | Male |
Speciality | Physical Therapist |
Location | 2339 Route 70 W, Cherry Hill, 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 |
---|---|---|---|
1649734666 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | J1-0004026 (Delaware) | Secondary |
225100000X | Physical Therapist | 40QA01906100 (New Jersey) | Primary |
Provider Name | Premier Physical Therapy And Sports Performance Limited Partnership |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1417320151 PECOS PAC ID: 2668774167 Enrollment ID: O20151230000159 |
Mailing Address | Practice Location Address |
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Kyle V Mohan, 1 Federal St # 200, Camden, NJ 08103-1088 Ph: (856) 356-4924 | Kyle V Mohan, 2339 Route 70 W, Cherry Hill, NJ 08002-3315 Ph: (856) 414-6114 |
Mrs. Terri Rice, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1399 Chapel Ave W, Cherry Hill, NJ 08002 Phone: 856-663-4607 | |
Regina A Derikito, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7 Carnegie Plz, Cherry Hill, NJ 08003 Phone: 877-407-3422 Fax: 866-210-1111 | |
Noelle Robertson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7 Carnegie Plz, Cherry Hill, NJ 08003 Phone: 877-407-3422 Fax: 877-407-4329 | |
Avia Marder, Physical Therapist Medicare: Medicare Enrolled Practice Location: 7 Carnegie Plz, Cherry Hill, NJ 08003 Phone: 877-407-3422 Fax: 877-407-4329 | |
Janica Marie Nuestro, Physical Therapist Medicare: Medicare Enrolled Practice Location: 7 Carnegie Plz, Cherry Hill, NJ 08003 Phone: 877-407-3422 Fax: 877-407-4329 | |
Mr. Michael Marino, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7 Carnegie Plz, Cherry Hill, NJ 08003 Phone: 877-407-3422 Fax: 877-407-4329 | |
Lori Ann Zielinski, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 801 Kings Hwy N, Fox Rehabilitation Services, Cherry Hill, NJ 08034 Phone: 877-407-3422 Fax: 877-407-4329 |