MEDICARE: JOSEPH THEODORE CASHMAN DPT

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
2	225100000X	Physical Therapist	PT030664	PA

General Provider Information

NPI Number	:	1073244737
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH THEODORE CASHMAN DPT

Provider Business Mailing Address
First Line	:	1 BANK ST
Second Line	:
City	:	BORDENTOWN
State	:	NJ
Zip	:	08505-1301
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2350 W OREGON AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19145-4122
Country	:	US
Telephone Number	:	215-336-6630
Fax Number	:

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

Provider Enumeration Date	:	06/22/2022
Last Update Date	:	04/01/2024

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