| Mrs Kimberly Cullen, PT | |
|
459 Route 9 S, Little Egg Harbor, NJ 08087-2225 | |
| (609) 294-2010 | |
| Not Available |
| Full Name | Mrs Kimberly Cullen |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 459 Route 9 S, Little Egg Harbor, 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 |
|---|---|---|---|
| 1487790671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA00971500 (New Jersey) | Primary |
| Provider Name | Jag-one Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1518017144 PECOS PAC ID: 2769584325 Enrollment ID: O20070228000306 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kimberly Cullen, PT 113 Kensington Dr, Galloway, NJ 08205-4678 Ph: () - | Mrs Kimberly Cullen, PT 459 Route 9 S, Little Egg Harbor, NJ 08087-2225 Ph: (609) 294-2010 |
Mr. Rudolph Daniel Vidi, P.T., M.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 279 Mathison Road, Southern Ocean Center For Health At Little Egg Harbor, Little Egg Harbor, NJ 08087 Phone: 609-294-4006 Fax: 609-812-0539 | |
Mrs. Elaine Cunanan, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 38 Stonegate Dr, Little Egg Harbor, NJ 08087 Phone: 908-327-0687 | |
Dr. Sara Gotthold, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1479 County Rd 539, Little Egg Harbor, NJ 08087 Phone: 609-829-5656 |