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NPI Code Detail

MEDICARE: WENDY F. MAUSS PHYSICAL THERAPY PLLC

MEDICARE: WENDY F. MAUSS PHYSICAL THERAPY PLLC
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 Therapist

General Provider Information

NPI Number : 1972509321
Entity Type Code : Organization
Provider Name (Legal Business Name) : WENDY F. MAUSS PHYSICAL THERAPY PLLC
Provider Business Mailing Address
First Line : 506 MILLBURN AVE
Second Line : # 3
City : SHORT HILLS
State : NJ
Zip : 07078-2523
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 350 5TH AVE
Second Line : STE 1706
City : NEW YORK
State : NY
Zip : 10118-0110
Country : US
Telephone Number : 646-734-8521
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MS. WENDY F MAUSS
Credential : P.T.
Telephone Number : 646-734-8521
Provider Enumeration Date : 06/21/2005
Last Update Date : 08/22/2020

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