| Matthew Anthony Ettaro, DPT | |
|
1501 Blueball Ave, Linwood, PA 19061-3922 | |
| (610) 853-8850 | |
| Not Available |
| Full Name | Matthew Anthony Ettaro |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1501 Blueball Ave, Linwood, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285066860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT022991 (Pennsylvania) | Primary |
| Provider Name | Arthritis And Osteoporosis Center, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1194786491 PECOS PAC ID: 0345223293 Enrollment ID: O20040610001503 |
| Provider Name | Dynamic Therapy Services Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1205875093 PECOS PAC ID: 0749283083 Enrollment ID: O20060807000197 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Anthony Ettaro, DPT 1501 Blueball Ave, Linwood, PA 19061-3922 Ph: (610) 853-8850 | Matthew Anthony Ettaro, DPT 1501 Blueball Ave, Linwood, PA 19061-3922 Ph: (610) 853-8850 |
Jobin M James, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1501 Blueball Ave, Linwood, PA 19061 Phone: 610-859-8850 | |
Dalton Charles Schiller, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1501 Blueball Ave, Linwood, PA 19061 Phone: 610-859-8850 |