Lisa Ann Lange, | |
705 E Moss Mill Rd, Galloway, NJ 08205 | |
(609) 867-1585 | |
Not Available |
Full Name | Lisa Ann Lange |
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Gender | Female |
Speciality | Physical Therapist |
Location | 705 E Moss Mill Rd, Galloway, 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 |
---|---|---|---|
1174341929 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 40QA00393300 (New Jersey) | Primary |
Provider Name | Healthpro Heritage Rehab & Fitness Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1689022295 PECOS PAC ID: 6507832573 Enrollment ID: O20160919002691 |
Mailing Address | Practice Location Address |
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Lisa Ann Lange, 705 E Moss Mill Rd, Galloway, NJ 08205 Ph: (609) 867-1585 | Lisa Ann Lange, 705 E Moss Mill Rd, Galloway, NJ 08205 Ph: (609) 867-1585 |
Eugene Medina, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4 E Jimmie Leeds Rd, Ste 3, Galloway, NJ 08205 Phone: 609-748-4288 Fax: 609-748-4282 | |
Melissa Lynette Ring, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 76 W Jimmie Leeds Rd Ste 401, Galloway, NJ 08205 Phone: 609-748-5193 Fax: 609-748-5197 | |
Amanda Marie Janiszewski, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 408 Chris Gaupp Dr Ste 200, Galloway, NJ 08205 Phone: 609-652-3774 Fax: 609-652-3776 | |
Jessica Heminghaus, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22 W Jimmie Leeds Rd, Galloway, NJ 08205 Phone: 609-404-4848 | |
Mrs. Kaley Heck, PT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 76 W Jimmie Leeds Rd, 76 West Park Center, Suite 401, Galloway, NJ 08205 Phone: 609-748-5193 Fax: 609-748-5197 |