| Awc Pt & Rehabilitation, Llc | |
|
96-98 Millburn Avenue, Suite #102, Millburn, NJ 07041-1944 | |
| (973) 486-0212 | |
| (973) 486-0212 |
| Full Name | Awc Pt & Rehabilitation, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 96-98 Millburn Avenue, Millburn, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861543522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 38MC00567300 (New Jersey) | Primary |
| 225100000X | Physical Therapist | 40QA00459400 (New Jersey) | Primary |
| Provider Name | Donna Detore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447568803 PECOS PAC ID: 0143401398 Enrollment ID: I20110222000682 |
| Mailing Address | Practice Location Address |
|---|---|
| Awc Pt & Rehabilitation, Llc 96-98 Millburn Avenue, Suite #102, Millburn, NJ 07041-1944 Ph: (973) 486-0212 | Awc Pt & Rehabilitation, Llc 96-98 Millburn Avenue, Suite #102, Millburn, NJ 07041-1944 Ph: (973) 486-0212 |
Mr. Michael J Castania, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 187 Millburn Ave, Suite 110, Millburn, NJ 07041 Phone: 973-467-7976 Fax: 973-467-7971 | |
Karen M Vozzella, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 318 Main St Ste 200a, Millburn, NJ 07041 Phone: 973-671-5855 Fax: 212-500-0039 | |
Dominick Algeri, Physical Therapist Medicare: Medicare Enrolled Practice Location: 187 Millburn Ave, Millburn, NJ 07041 Phone: 973-467-7976 Fax: 973-467-7971 | |
Rocio Cota-soler, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 187 Millburn Ave, Suite 110, Millburn, NJ 07041 Phone: 973-467-7976 Fax: 973-467-7971 | |
Physical Therapy Center Management Group, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 25 E Willow St, Millburn, NJ 07041 Phone: 973-654-8878 | |
Sports Training Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 187 Millburn Ave, Suite 110, Millburn, NJ 07041 Phone: 973-467-7976 Fax: 973-467-7971 | |
Sallie Beth Sarrel, D.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22 Haran Cir, Millburn, NJ 07041 Phone: 973-467-1629 Fax: 973-467-8566 |