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NPI Code Detail

MEDICARE: ELLEN JO KATZ

MEDICARE: ELLEN JO KATZ
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
1225200000XPhysical Therapy AssistantPTA 14703FL

General Provider Information

NPI Number : 1336346121
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELLEN JO KATZ
Provider Business Mailing Address
First Line : 7148 COLONY CLUB DR # 6-110
Second Line :
City : LAKE WORTH
State : FL
Zip : 33463-7828
Country : US
Telephone Number : 561-843-4347
Fax Number :
Provider Business Practice Location Address
First Line : 2250 HICKORY RD
Second Line : SUITE 240
City : PLYMOUTH MEETING
State : PA
Zip : 19462-1047
Country : US
Telephone Number : 610-834-1122
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2007
Last Update Date : 05/24/2026

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