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NPI Code Detail

MEDICARE: WILLIAM GERHARD KAISER PT

MEDICARE: WILLIAM GERHARD KAISER PT
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 TherapistQA01610NJ

General Provider Information

NPI Number : 1639138787
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM GERHARD KAISER PT
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 : BUILDING 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 :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2006
Last Update Date : 04/12/2016

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Directions to “ WILLIAM GERHARD KAISER PT” Practice Location

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