Mr Jeffrey Corduwa, RPT | |
251 W. Dekalb Pk, Apt B414, King Of Prussia, PA 19406 | |
(484) 368-4350 | |
Not Available |
Full Name | Mr Jeffrey Corduwa |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 251 W. Dekalb Pk, King Of Prussia, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376845875 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT020357 (Pennsylvania) | Primary |
Provider Name | Fox Rehabilitation Services Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1326092503 PECOS PAC ID: 0143133009 Enrollment ID: O20040220000258 |
Mailing Address | Practice Location Address |
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Mr Jeffrey Corduwa, RPT 251 W Dekalb Pike, Apt # B414, King Of Prussia, PA 19406-2421 Ph: (484) 368-4350 | Mr Jeffrey Corduwa, RPT 251 W. Dekalb Pk, Apt B414, King Of Prussia, PA 19406 Ph: (484) 368-4350 |
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