| Backtometherapy Llc | |
|
816 Delsea Dr N Ste 130 Glassboro NJ 08028-1438 | |
| (856) 371-9521 | |
| Not Available |
| Full Name | Backtometherapy Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 816 Delsea Dr N Ste 130, Glassboro, New Jersey |
| Authorized Official Name and Position | Kelly Andreassi (OCCUPATIONAL THERAPIST) |
| Authorized Official Contact | 8563719521 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Backtometherapy Llc 816 Delsea Dr N Ste 130 Glassboro NJ 08028-1438 Ph: (856) 371-9521 | Backtometherapy Llc 816 Delsea Dr N Ste 130 Glassboro NJ 08028-1438 Ph: (856) 371-9521 |
| NPI Number | 1881335099 |
|---|---|
| Provider Enumeration Date | 04/05/2022 |
| Last Update Date | 05/23/2022 |
| Medicare PECOS PAC ID | 5092199125 |
|---|---|
| Medicare Enrollment ID | O20220908001545 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881335099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Kelly Andreassi |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073966404 PECOS PAC ID: 3375935133 Enrollment ID: I20220908001761 |
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