Healthcare Provider Details

I. General information

NPI: 1578142964
Provider Name (Legal Business Name): HUNTER HANDEL PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2021
Last Update Date: 04/05/2021
Certification Date: 04/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

253 HURFFVILLE CROSSKEYS RD STE 3B
SEWELL NJ
08080-4011
US

IV. Provider business mailing address

224 STRAWBRIDGE DR STE 100
MOORESTOWN NJ
08057-4602
US

V. Phone/Fax

Practice location:
  • Phone: 856-265-0500
  • Fax: 856-658-1111
Mailing address:
  • Phone: 856-677-4000
  • Fax: 856-234-3014

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT018879
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT029387
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA01999600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: