Venkata L S Kruthika Damera, PT | |
3887 Skippack Pike, Lower Level, Skippack, PA 19474-1487 | |
(610) 584-1400 | |
(610) 584-5224 |
Full Name | Venkata L S Kruthika Damera |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 3887 Skippack Pike, Skippack, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760298749 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT032878 (Pennsylvania) | Primary |
Provider Name | Mishock Physical Therapy Lp |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1689011173 PECOS PAC ID: 7517100423 Enrollment ID: O20130826000083 |
Mailing Address | Practice Location Address |
---|---|
Venkata L S Kruthika Damera, PT 560 N Route 100, Bechtelsville, PA 19505-9228 Ph: (610) 845-5000 | Venkata L S Kruthika Damera, PT 3887 Skippack Pike, Lower Level, Skippack, PA 19474-1487 Ph: (610) 584-1400 |
Eric Anthony Sibilla, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3887 Skippack Pike, Skippack, PA 19474 Phone: 610-584-1400 Fax: 610-584-5224 | |
Jessica Duke, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3887 Skippack Pike, Skippack, PA 19474 Phone: 610-584-1400 Fax: 610-584-5224 | |
Cody Bach, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3887 Skippack Drive, Lower Level, Skippack, PA 19474 Phone: 610-584-1400 |