MEDICARE: MIDDLETOWN/HOLMDEL PHYSICAL THERAPY

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		NJ

General Provider Information

NPI Number	:	1851396196
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIDDLETOWN/HOLMDEL PHYSICAL THERAPY

Provider Business Mailing Address
First Line	:	2137 HIGHWAY 35
Second Line	:
City	:	HOLMDEL
State	:	NJ
Zip	:	07733-1083
Country	:	US
Telephone Number	:	732-264-9494
Fax Number	:	732-264-2502

Provider Business Practice Location Address
First Line	:	2137 HIGHWAY 35
Second Line	:
City	:	HOLMDEL
State	:	NJ
Zip	:	07733-1083
Country	:	US
Telephone Number	:	732-264-9494
Fax Number	:	732-264-2502

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. FRANCES V SIEJKOWSKI
Credential	:
Telephone Number	:	732-264-9494

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	07/21/2022

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Directions to “MIDDLETOWN/HOLMDEL PHYSICAL THERAPY ” Practice Location

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