| Mr Maikutlo B Kebaetse, PHD, PT | |
|
541 Mantua Ave, Paulsboro, NJ 08066-1178 | |
| (185) 622-4000 | |
| (856) 224-0466 |
| Full Name | Mr Maikutlo B Kebaetse |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 541 Mantua Ave, Paulsboro, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326190653 | NPI | - | NPPES |
| 2410669000 | Other | NJ | AMERIHEALTH GROUP ID |
| 2410631000 | Other | NJ | AMERIJEALTH IND. ID# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA00685900 (New Jersey) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Maikutlo B Kebaetse, PHD, PT Po Box 277, Paulsboro, NJ 08066-0277 Ph: (185) 622-0400 | Mr Maikutlo B Kebaetse, PHD, PT 541 Mantua Ave, Paulsboro, NJ 08066-1178 Ph: (185) 622-4000 |
Gloucester Physical Therapy, Pc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 541 Mantua Ave, Paulsboro, NJ 08066 Phone: 856-224-0400 Fax: 856-224-0466 | |
Mr. Kenneth Daniel Hollingsworth, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 550 Jessup Rd, Paulsboro, NJ 08066 Phone: 856-848-9551 |