Your Place At Home,llc

NPI 1407912207 - Physical Therapist - 225100000X

NPI Details
NPI 1407912207
Enumeration Date 12/28/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GERARDINE KATHRYN GERARDINE
Position PRESIDENT
Phone (856) 778-4293
Fax (856) 778-4293
Practice Location
203 KNOTTY OAK DR
MOUNT LAUREL NJ, 08054-2100, US
Phone (856) 778-4293
Fax (856) 778-4293
Business Location
203 KNOTTY OAK DR
MOUNT LAUREL NJ, 08054-2100, US
Phone (856) 778-4293
Fax (856) 778-4293
Toxanomy
Taxonomy Code 225100000X
License State New Jersey
License Number 40QA00116200
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According to our database, Your Place At Home,llc NPI is 1407912207, taxonomy code is 225100000X and license number is 40QA00116200, license state is located at New Jersey. Your Place At Home,llc physically located at 203 Knotty Oak Dr, Mount Laurel NJ, 08054-2100. NPI Number 1033115704 has the healthcare provider type.

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1407912207 NPI number is provided on an as is basis without warranty of any kind. 1407912207 is maintained by the National Plan & Provider Enumeration System. The contents of Your Place At Home,llc are for informational purposes only.