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NPI Code Detail

MEDICARE: MRS. ELEANOR M CAMPBELL PT

MEDICARE: MRS. ELEANOR M CAMPBELL PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist40QA00176900NJ

General Provider Information

NPI Number : 1285696245
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELEANOR M CAMPBELL PT
Provider Business Mailing Address
First Line : 210 NORTH AVE E
Second Line :
City : CRANFORD
State : NJ
Zip : 07016-2441
Country : US
Telephone Number : 908-276-0237
Fax Number : 908-276-5692
Provider Business Practice Location Address
First Line : 210 NORTH AVE E
Second Line :
City : CRANFORD
State : NJ
Zip : 07016-2441
Country : US
Telephone Number : 908-276-0237
Fax Number : 908-276-5692
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. ELEANOR M CAMPBELL PT” Practice Location

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