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NPI Code Detail

MEDICARE: SUSAN E COTTRELL MPT

MEDICARE:   SUSAN E COTTRELL  MPT
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
1225100000XPhysical Therapist40QA01223300NJ

General Provider Information

NPI Number : 1487789293
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN E COTTRELL MPT
Provider Business Mailing Address
First Line : 1224 TILTON RD
Second Line :
City : NORTHFIELD
State : NJ
Zip : 08225-1809
Country : US
Telephone Number : 609-926-1161
Fax Number : 609-926-3223
Provider Business Practice Location Address
First Line : 1224 TILTON RD
Second Line :
City : NORTHFIELD
State : NJ
Zip : 08225-1809
Country : US
Telephone Number : 609-926-1161
Fax Number : 609-926-3223
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2007
Last Update Date : 01/26/2017

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Directions to “ SUSAN E COTTRELL MPT” Practice Location

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