Provider Demographics
NPI:1407374721
Name:SCHULTES, ABAGAIL (PT, DPT)
Entity Type:Individual
Prefix:
First Name:ABAGAIL
Middle Name:
Last Name:SCHULTES
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:ABBY
Other - Middle Name:
Other - Last Name:THORNTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:139 WOODLAND AVE
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08007-1342
Mailing Address - Country:US
Mailing Address - Phone:732-581-4886
Mailing Address - Fax:
Practice Address - Street 1:3115 ROUTE 38 STE 300
Practice Address - Street 2:
Practice Address - City:MOUNT LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054-9725
Practice Address - Country:US
Practice Address - Phone:856-273-8080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-07
Last Update Date:2020-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01754400208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPT026305OtherLICENSING BOARD OF PHYSICAL THERAPY