Wantage Physical Rehabilitation Llc | |
359 Route 23, Sussex, NJ 07461-3105 | |
(973) 875-1974 | |
(973) 875-1984 |
Full Name | Wantage Physical Rehabilitation Llc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 359 Route 23, Sussex, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477622496 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | 1231776 (New Jersey) | Primary |
225X00000X | Occupational Therapist | 1231776 (New Jersey) | Secondary |
Provider Name | Joellen C Kattermann |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1770761892 PECOS PAC ID: 4486730249 Enrollment ID: I20080320000034 |
Provider Name | Nidhi V Mehta |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1699284117 PECOS PAC ID: 1759641699 Enrollment ID: I20230208001165 |
Provider Name | Premshankar Nadar |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1073254611 PECOS PAC ID: 2264893452 Enrollment ID: I20240429002817 |
Mailing Address | Practice Location Address |
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Wantage Physical Rehabilitation Llc 359 Route 23, Sussex, NJ 07461-3105 Ph: (973) 875-1974 | Wantage Physical Rehabilitation Llc 359 Route 23, Sussex, NJ 07461-3105 Ph: (973) 875-1974 |
Mrs. Jo Ellen C Kattermann, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 359 Route 23, Sussex, NJ 07461 Phone: 973-875-1974 Fax: 973-875-1984 |