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NPI Code Detail

MEDICARE: JULIA MARIE RUDOWITZ PT, DPT

MEDICARE:   JULIA MARIE RUDOWITZ  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
1225100000XPhysical Therapist40QA01698000NJ
2225100000XPhysical TherapistPT025350PA

General Provider Information

NPI Number : 1568913309
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIA MARIE RUDOWITZ 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 : 1809 W OREGON AVE FL 3
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19145-3700
Country : US
Telephone Number : 215-770-9760
Fax Number : 215-391-1285
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2016
Last Update Date : 07/21/2022

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