Healthcare Provider Details

I. General information

NPI: 1275185787
Provider Name (Legal Business Name): ANDREA REAM-COSTANTINI PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2019
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 W ROUTE 38 LOWR LEVEL
MOORESTOWN NJ
08057-3219
US

IV. Provider business mailing address

1 FEDERAL ST STE 200
CAMDEN NJ
08103-1088
US

V. Phone/Fax

Practice location:
  • Phone: 856-437-3799
  • Fax:
Mailing address:
  • Phone: 848-288-6935
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA01866900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: