Provider Demographics
NPI:1497961833
Name:SCHEIDELER, JOSEPH L (MS PT)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:L
Last Name:SCHEIDELER
Suffix:
Gender:M
Credentials:MS PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 FOX CHASE DR
Mailing Address - Street 2:
Mailing Address - City:DELRAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08075-2321
Mailing Address - Country:US
Mailing Address - Phone:856-461-5475
Mailing Address - Fax:
Practice Address - Street 1:124 FOX CHASE DR
Practice Address - Street 2:
Practice Address - City:DELRAN
Practice Address - State:NJ
Practice Address - Zip Code:08075-2321
Practice Address - Country:US
Practice Address - Phone:856-461-5475
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00110800225100000X
PAPT002661L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist