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Organization
YOUR PLACE AT HOME,LLC
Active
Organization
YOUR PLACE AT HOME,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GERARDINE KATHRYN BENEDETTO PT (PRESIDENT)
(856) 778-4293
Entity
Organization
Contact information
Practice address
203 KNOTTY OAK DR, MOUNT LAUREL, NJ 08054-2100
(856) 778-4293
(856) 778-4293
Mailing address
203 KNOTTY OAK DR, MOUNT LAUREL, NJ 08054-2100
(856) 778-4293
(856) 778-4293
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00116200
NJ
Other
Enumeration date
12/28/2006
Last updated
08/22/2020
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