Michelle Moresca Armedilla, PT

Individual provider Active NPI Physical Therapist · New Milford, NJ

NPI 1104088616 · NPPES record last updated Jun 26, 2008

Key facts

NPI
1104088616
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
0292591 (NY)
Practice address
229 Linden Place
New Milford, NJ 07646
Phone
(818) 648-3043
Fax
(718) 518-1244
NPI assigned
Jun 26, 2008
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
029259NYMDPharmacist
0292591NYMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0292591 NY Yes

Addresses

Primary practice location

229 Linden Place
New Milford, NJ 07646

Mailing address

229 Linden PL
New Milford, NJ 07646-3042
Phone (818) 648-3043

Other providers in New Milford, NJ

All providers in New Milford, NJ · Physical Therapist in New Jersey

Sources for this page

Verify at the official NPI Registry.