Doctor Name: | MR. DAVID B. ANSELMO |
NPI Number: | 1124116249 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | BS PT |
License Number: | 40QA00465400 |
Business Practice Address: | 151 Fries Mill Rd Bldg. 600, Suite 1 Turnersville, NJ - 080122016 |
Business Phone Number: | 8563743707 |
Business Fax Number: | |
Mailing Address: | 1712 Crowfoot Ln, WILLIAMSTOWN |
State: | NJ |
Postal Code: | 080948751 |
Phone Number: | 8568815131 |
Fax Number: | |
NPI Enumeration Date: | 10/11/2006 |
NPI Last Update Date: | 10/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 40QA00465400 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |