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NPI Code Detail

MEDICARE: PHOEBE THOMASCO

MEDICARE: PHOEBE THOMASCO
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
1225X00000XOccupational TherapistOC018541PA

General Provider Information

NPI Number : 1659124956
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHOEBE THOMASCO
Provider Business Mailing Address
First Line : 7 CARNEGIE PLZ
Second Line :
City : CHERRY HILL
State : NJ
Zip : 08003-1000
Country : US
Telephone Number : 877-407-3422
Fax Number : 877-407-4329
Provider Business Practice Location Address
First Line : 214 E BALTIMORE AVE
Second Line :
City : CLIFTON HEIGHTS
State : PA
Zip : 19018-1634
Country : US
Telephone Number : 877-407-3422
Fax Number : 877-407-4329
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2024
Last Update Date : 04/08/2024

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Directions to “ PHOEBE THOMASCO ” Practice Location

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