| Premalatha Manickam Sr, | |
|
270 Us Highway 206 S Spc A114, Chester, NJ 07930-2491 | |
| (908) 888-0441 | |
| Not Available |
| Full Name | Premalatha Manickam Sr |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 270 Us Highway 206 S Spc A114, Chester, 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 |
|---|---|---|---|
| 1871216614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA02086700 (New Jersey) | Primary |
| Provider Name | Ivyrehab Network Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1861623753 PECOS PAC ID: 3476539776 Enrollment ID: O20040628000865 |
| Provider Name | Trinity Rehab Somerset Pa |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1245789064 PECOS PAC ID: 0547540809 Enrollment ID: O20170113000019 |
| Mailing Address | Practice Location Address |
|---|---|
| Premalatha Manickam Sr, 270 Us Highway 206 S Spc A114, Chester, NJ 07930-2491 Ph: (908) 888-0441 | Premalatha Manickam Sr, 270 Us Highway 206 S Spc A114, Chester, NJ 07930-2491 Ph: (908) 888-0441 |
Skylar Elizabeth Andrade, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 Pleasant Hill Rd, Chester, NJ 07930 Phone: 973-252-6300 | |
Stephen John Maciejewski, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 385 State Route 24 Ste 3g, Chester, NJ 07930 Phone: 908-879-8787 | |
Cara Yezzi, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 Pleasant Hill Rd, Chester, NJ 07930 Phone: 973-252-6400 | |
Andrew J Yudd, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 95 W Main St Ste 6, Chester, NJ 07930 Phone: 908-879-7364 Fax: 908-879-7365 | |
Aisling Byrne, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 Pleasant Hill Rd, Chester, NJ 07930 Phone: 973-252-6300 | |
Mr. Patrick Leonard, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 154 Us Route 206, Suite 1c, Chester, NJ 07930 Phone: 908-879-8111 Fax: 908-879-9940 | |
Jennifer L. Stoskus, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 Pleasant Hill Rd, Chester, NJ 07930 Phone: 973-252-6400 Fax: 973-252-6418 |