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Theodore Osmola, PT
Specialist in Williamstown, New Jersey
NPI 1487742813

Theodore Osmola is a Specialist based in Sewell, NJ. Theodore Osmola practices in Williamstown, NJ and has the professional credentials of PT. The NPI Number for Theodore Osmola is 1487742813 and holds a License No. 40QA00529400 (New Jersey).

The current practice location address for Theodore Osmola is 375 N Main St, Williamstown, NJ and can be reached out via phone at 856-875-0810 and via fax at 856-875-7116.

Location: 375 N Main St, Williamstown, NJ, 08080-2409
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487742813
Provider Name
Theodore Osmola
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
375 N Main St, Williamstown, NJ, 08080-2409
Phone Number
856-875-0810
Fax Number
856-875-7116
Provider Enumeration Date
10/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4940585 01 NJ CIGNA PPO
1547736 01 NJ AMERIHEALTH
2230033 01 NJ FIRST HEALTH
institution
Provider Business Practice Location Address Details
Address
375 N Main St
City
Williamstown
State
New Jersey
Zip
08094-1481
Phone Number
856-875-0810
Fax Number
856-875-7116
person
Provider Business Mailing Address Details
Address
375 N Main St
City
Williamstown
State
New Jersey
Zip
08094-1481
Phone Number
856-875-0810
Fax Number
856-875-7116
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
40QA00529400 (New Jersey)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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