| Mc Gucken De Leon, PT | |
|
222 Cambridge Ct, Clifton, NJ 07014-1376 | |
| (347) 449-1639 | |
| Not Available |
| Full Name | Mc Gucken De Leon |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 222 Cambridge Ct, Clifton, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376724708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA01260800 (New Jersey) | Primary |
| Provider Name | Athome Therapy Solutions - South Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1871209577 PECOS PAC ID: 6103281126 Enrollment ID: O20230426002982 |
| Mailing Address | Practice Location Address |
|---|---|
| Mc Gucken De Leon, PT 321 Prospect Ave Apt D5, Hackensack, NJ 07601-2593 Ph: () - | Mc Gucken De Leon, PT 222 Cambridge Ct, Clifton, NJ 07014-1376 Ph: (347) 449-1639 |
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