Mildred Magsanoc, PT
Individual provider Active NPI Geriatric Physical Therapist · Atco, NJ
NPI 1346443785 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1346443785
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Physical Therapist 2251G0304X
- License
- 40QAOO730900 (NJ)
- Practice address
- 114 Hayes Mill Rd
Atco, NJ 08004-2457 - Phone
- (856) 809-7242
- NPI assigned
- Jun 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QAOO730900 | NJ | MD | Geriatric Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 40QAOO730900 | NJ | Yes |
Addresses
Primary practice location
114 Hayes Mill Rd
Atco, NJ 08004-2457
Mailing address
26 Brookstone Dr
Sicklerville, NJ 08081-1692
Other providers in Atco, NJ
- Christopher Samuel Liano
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- Lions of Judah7 Ministries
- Kimberly Lipstas
- Michael John Loftus Jr.
- Andrew Mallon
- Markrmenaquale,Inc
- Emily Anne Martin
- Carla A McGruder
- Amy S Miller
All providers in Atco, NJ · Geriatric Physical Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.