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NPI Code Detail

MEDICARE: NICOLE D HINTERBERGER PT, DPT

MEDICARE: NICOLE D HINTERBERGER 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 TherapistPT025396PA
2225100000XPhysical Therapist40QA01696900NJ

General Provider Information

NPI Number : 1811447873
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE D HINTERBERGER 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 : 1900 BURLINGTON MOUNT HOLLY RD STE 4C
Second Line :
City : BURLINGTON
State : NJ
Zip : 08016-4725
Country : US
Telephone Number : 609-747-1915
Fax Number : 609-747-8565
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2016
Last Update Date : 06/24/2019

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Directions to “ NICOLE D HINTERBERGER PT, DPT” Practice Location

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