| Katerina Antonia Iannacone, PT, DPT | |
|
111 County Rd 516, Old Bridge, NJ 08857-1421 | |
| (732) 254-8200 | |
| Not Available |
| Full Name | Katerina Antonia Iannacone |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 8 Years |
| Location | 111 County Rd 516, Old Bridge, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124769294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA02014500 (New Jersey) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| At Home By Enhance Therapies Llc | 4183033210 | 127 |
| Provider Name | At Home By Enhance Therapies Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1124603246 PECOS PAC ID: 4183033210 Enrollment ID: O20210503001929 |
| Mailing Address | Practice Location Address |
|---|---|
| Katerina Antonia Iannacone, PT, DPT 2 Carrie Dr, Manalapan, NJ 07726-4669 Ph: () - | Katerina Antonia Iannacone, PT, DPT 111 County Rd 516, Old Bridge, NJ 08857-1421 Ph: (732) 254-8200 |
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