Provider Demographics
NPI:1235296252
Name:HASSLER, CORTNEY DIGUGLIELMO (MSPT)
Entity Type:Individual
Prefix:MR
First Name:CORTNEY
Middle Name:DIGUGLIELMO
Last Name:HASSLER
Suffix:
Gender:M
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5045 ROUTE 38
Mailing Address - Street 2:
Mailing Address - City:PENNSAUKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08109-4801
Mailing Address - Country:US
Mailing Address - Phone:856-663-4414
Mailing Address - Fax:856-486-9064
Practice Address - Street 1:5045 ROUTE 38
Practice Address - Street 2:
Practice Address - City:PENNSAUKEN
Practice Address - State:NJ
Practice Address - Zip Code:08109-4801
Practice Address - Country:US
Practice Address - Phone:856-663-4414
Practice Address - Fax:856-486-9064
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2015-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QAO1117100225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ123213UNEMedicare UPIN
NJ094914Medicare PIN