| 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 |
|---|---|
| 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 | |
Mr. James Wayne Mckeown, DPT, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3887 Skippack Pike, Lower Level, 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 |