| 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 | Chiropractor |
| 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 |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA00459400 (New Jersey) | Secondary |
| 111N00000X | Chiropractor | 38MC00567300 (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 |
Dr. Maria Crincoli, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 258 Millburn Ave, Millburn, NJ 07041 Phone: 973-376-2888 Fax: 973-376-3939 | |
Kaiser Chiropractic Center, Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 276 Essex St, Millburn, NJ 07041 Phone: 973-376-5522 | |
Dr. Daniel Houshmand, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 96 Millburn Ave, Suite #101, Millburn, NJ 07041 Phone: 973-378-2003 Fax: 973-378-2037 | |
Dr. Michael C. Fox, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 264 Millburn Ave, Millburn, NJ 07041 Phone: 973-467-9070 Fax: 973-467-2044 | |
Dr. M. Mai-tram D. Ho, DC, L.AC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 58 Mountain Ave, Millburn, NJ 07041 Phone: 973-955-6699 Fax: 973-467-3300 | |
Ohana Lei Pc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 96 Millburn Ave, Suite 101, Millburn, NJ 07041 Phone: 973-378-2003 Fax: 973-378-2037 | |
Alternacare Wellness Center, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 96 Millburn Ave, Suite #101, Millburn, NJ 07041 Phone: 973-378-2003 Fax: 973-378-2037 |