Jane Gersbach

Individual provider Active NPI Physical Therapist · Tabernacle, NJ

NPI 1922421726 · NPPES record last updated Jan 29, 2014

Key facts

NPI
1922421726
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
40QA00783400 (NJ)
Practice address
33 Forest CT
Tabernacle, NJ 08088-9031
Phone
(609) 268-9508
NPI assigned
Jan 29, 2014
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

LicenseStateTypeSpecialty
40QA00783400NJMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA00783400 NJ Yes

Addresses

Primary practice location

33 Forest CT
Tabernacle, NJ 08088-9031

Mailing address

33 Forest CT
Tabernacle, NJ 08088-9031
Phone (609) 268-9508

Other providers in Tabernacle, NJ

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

Sources for this page

Verify at the official NPI Registry.