Individual
MRS. CHRISTINE DIANE MEASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
132 GROVE ST, COOPER PHYSICAL THERAPY, HADDONFIELD, NJ 08033-1224
(856) 795-9330
(856) 854-7935
Mailing address
209 CARLTON CT, THOROFARE, NJ 08086-2017
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT009660L
PA
225100000X
Physical Therapist
Primary
QA007131
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1682858
AMERIHEALTH PPO
NJ
01
—
22-21170196
NJ CARPENTERS
NJ
01
—
22-2170196
INTERGROUP
NJ
01
—
222107019643
TRICARE/CHAMPUS
NJ
01
—
222170196041
TRICARE/CHAMPUS
NJ
01
—
2356297000
AMERIHEALTH HMO
NJ
01
—
P3314980
OXFORD
NJ
Enumeration date
07/13/2005
Last updated
12/16/2013
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