Provider Demographics
NPI:1881217354
Name:QUINTERO, MADELYN (PT, DPT)
Entity Type:Individual
Prefix:
First Name:MADELYN
Middle Name:
Last Name:QUINTERO
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:MADELYN
Other - Middle Name:
Other - Last Name:PARKHURST
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:224 STRAWBRIDGE DR STE 100
Mailing Address - Street 2:
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057-4602
Mailing Address - Country:US
Mailing Address - Phone:856-677-4000
Mailing Address - Fax:856-234-3014
Practice Address - Street 1:25 WRIGHTSTOWN COOKSTOWN RD
Practice Address - Street 2:
Practice Address - City:WRIGHTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08562-2341
Practice Address - Country:US
Practice Address - Phone:609-901-3005
Practice Address - Fax:609-723-4250
Is Sole Proprietor?:No
Enumeration Date:2020-05-19
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01923300225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist