Organization
BREAST CANCER PHYSICAL THERAPY CENTER, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA T MILLER PT, DPT (CLINCAL DIRECTOR, PRESIDENT)
(856) 429-8200
Entity
Organization
Contact information
Practice address
13 W ORMOND AVE, SUITE 2, CHERRY HILL, NJ 08002-3041
(856) 429-8200
(856) 429-2260
Mailing address
13 W ORMOND AVE, SUITE 2, CHERRY HILL, NJ 08002-3041
(856) 429-8200
(856) 429-2260
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT006405L
PA
261QP2000X
Physical Therapy Clinic/Center
Primary
40Q00667300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
549682
AETNA PROVIDER NUMBER
PA
Enumeration date
02/16/2007
Last updated
03/29/2010
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