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NPI Code Detail

MEDICARE: ACHIEVE PHYSICAL THERAPY & FITNESS, LLC

MEDICARE: ACHIEVE PHYSICAL THERAPY & FITNESS, LLC
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 Therapist

General Provider Information

NPI Number : 1538158167
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACHIEVE PHYSICAL THERAPY & FITNESS, LLC
Provider Business Mailing Address
First Line : 1940 S WEST BLVD
Second Line : BLDG A
City : VINELAND
State : NJ
Zip : 08360-7024
Country : US
Telephone Number : 856-690-9977
Fax Number : 856-507-9918
Provider Business Practice Location Address
First Line : 1940 S WEST BLVD
Second Line : BLDG. A
City : VINELAND
State : NJ
Zip : 08360-7024
Country : US
Telephone Number : 856-690-9977
Fax Number : 856-507-9918
Authorized Official
Title or Position : OWNER OPERATOR
Name : MR. PAUL HEIM
Credential : PT
Telephone Number : 856-690-9977
Provider Enumeration Date : 10/17/2005
Last Update Date : 08/15/2007

Similar Medicare Providers

1952048910 — VINITA PATEL
Practice Location Address:
1940 S WEST BLVD BLDG A
VINELAND, NJ
08360-7024
Practice Phone: 856-690-9977
Practice Fax:
1639138787 — WILLIAM GERHARD KAISER PT
Practice Location Address:
1940 S WEST BLVD , BUILDING A
VINELAND, NJ
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1457300345 — MR. RICHARD MAUNG P.T.
Practice Location Address:
1940 S WEST BLVD , BLDG A
VINELAND, NJ
08360-7024
Practice Phone: 856-690-9977
Practice Fax: 856-507-9918
1982654208 — MR. PAUL HEIM P.T.
Practice Location Address:
1940 S WEST BLVD , BLDG A
VINELAND, NJ
08360-7024
Practice Phone: 856-690-9977
Practice Fax: 856-507-9918
1639266190 — THOMAS BIANCO JR. PT
Practice Location Address:
1940 S WEST BLVD BLDG A
VINELAND, NJ
08360-7024
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Practice Fax: 856-507-9918
1255457651 — ELIZA ERMOLD OTR/L
Practice Location Address:
1940 S WEST BLVD BLDG A
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08360-7024
Practice Phone: 856-690-9977
Practice Fax: 856-507-9918

Directions to “ACHIEVE PHYSICAL THERAPY & FITNESS, LLC ” Practice Location

Language Start Address Practice Location
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