| Miracle Homecare Physical Therapy Llc | |
|
414 Eagle Rock Ave Ste 107, West Orange, NJ 07052-4229 | |
| (917) 603-7930 | |
| Not Available |
| Full Name | Miracle Homecare Physical Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 414 Eagle Rock Ave Ste 107, West Orange, 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 |
|---|---|---|---|
| 1366155194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Elan Araten |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801113246 PECOS PAC ID: 7416114335 Enrollment ID: I20120206000066 |
| Provider Name | Edward Zdanowicz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699229153 PECOS PAC ID: 9335437722 Enrollment ID: I20191028000640 |
| Provider Name | Angelica O Wong |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598376121 PECOS PAC ID: 3971920109 Enrollment ID: I20200902000443 |
| Mailing Address | Practice Location Address |
|---|---|
| Miracle Homecare Physical Therapy Llc 414 Eagle Rock Ave Ste 107, West Orange, NJ 07052-4229 Ph: (917) 603-7930 | Miracle Homecare Physical Therapy Llc 414 Eagle Rock Ave Ste 107, West Orange, NJ 07052-4229 Ph: (917) 603-7930 |
Elizabeth Caputo, PT, DPT, NCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1199 Pleasant Valley Way, West Orange, NJ 07052 Phone: 973-243-6940 Fax: 973-243-6967 | |
David Currie King, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1199 Pleasant Valley Way, West Orange, NJ 07052 Phone: 973-414-4755 Fax: 973-243-6842 | |
Dr. Sandra Wojciehowski, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1199 Pleasant Valley Way, West Orange, NJ 07052 Phone: 973-414-4755 | |
Raphael Moreno, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 622 Eagle Rock Ave, West Orange, NJ 07052 Phone: 973-669-0078 | |
Jaceline D Dejean, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 445 Pleasant Valley Way, West Orange, NJ 07052 Phone: 862-520-4027 | |
Abigail Reid, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1199 Pleasant Valley Way, West Orange, NJ 07052 Phone: 973-414-4755 Fax: 973-243-6967 | |
Ms. Leslie Prendergast, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 44 Manger Rd, West Orange, NJ 07052 Phone: 973-736-7121 |