MEDICARE: ROBERT WILLIAM HOENSHEL P.T.

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	PT20763	FL
2	225100000X	Physical Therapist	40QA01378900	NJ

General Provider Information

NPI Number	:	1801891205
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT WILLIAM HOENSHEL P.T.

Provider Business Mailing Address
First Line	:	605 MAIN STREET
Second Line	:
City	:	HACKENSACK
State	:	NJ
Zip	:	07601
Country	:	US
Telephone Number	:	201-488-0488
Fax Number	:	904-858-6490

Provider Business Practice Location Address
First Line	:	32 PIERMONT ROAD
Second Line	:
City	:	CRESSKILL
State	:	NJ
Zip	:	07626
Country	:	US
Telephone Number	:	201-567-0044
Fax Number	:	904-858-7047

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

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	11/22/2011

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