MEDICARE: LORANE STITCHER PT, 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	40QA00738800	NJ

General Provider Information

NPI Number	:	1467436949
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LORANE STITCHER PT, DPT

Provider Business Mailing Address
First Line	:	224 STRAWBRIDGE DR STE 100
Second Line	:
City	:	MOORESTOWN
State	:	NJ
Zip	:	08057-4602
Country	:	US
Telephone Number	:	856-677-4000
Fax Number	:	856-234-3014

Provider Business Practice Location Address
First Line	:	1 ROSSMOOR DR STE 101
Second Line	:
City	:	MONROE TWP
State	:	NJ
Zip	:	08831
Country	:	US
Telephone Number	:	609-860-9913
Fax Number	:	609-860-9915

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

Provider Enumeration Date	:	11/30/2005
Last Update Date	:	08/28/2019

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