MEDICARE: URSALA MEULENER 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
1	225100000X	Physical Therapist	40QA01146400	NJ

General Provider Information

NPI Number	:	1407991342
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	URSALA MEULENER PT

Provider Business Mailing Address
First Line	:	1081 ROUTE 22
Second Line	:
City	:	BRIDGEWATER
State	:	NJ
Zip	:	08807-2921
Country	:	US
Telephone Number	:	908-285-3302
Fax Number	:

Provider Business Practice Location Address
First Line	:	1081 ROUTE 22
Second Line	:
City	:	BRIDGEWATER
State	:	NJ
Zip	:	08807-2921
Country	:	US
Telephone Number	:	908-285-3302
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	07/09/2008

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Directions to “ URSALA MEULENER PT” Practice Location

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