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General NPI Number Information
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NPI Number | 1861510703
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Entity Type | Individual
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Provider Name | MARY F DELROSSI-BISHOP PT
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Gender | Female
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1700 WYNWOOD DR
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City | CINNAMINSON
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State | NJ
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Zip | 08077-2440
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Country | US
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Telephone | 856-829-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 7 MAHOGANY DR
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City | BURLINGTON
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State | NJ
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Zip | 08016-3176
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Country | US
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Telephone | 609-694-0814
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40QA00322400
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License Number State | NJ
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