Provider Demographics
NPI:1922016955
Name:SANTILLO, HELENE R (PT)
Entity Type:Individual
Prefix:
First Name:HELENE
Middle Name:R
Last Name:SANTILLO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:HELENE
Other - Middle Name:R
Other - Last Name:HELBLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:570 EGG HARBOR RD
Mailing Address - Street 2:SUITE B6
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080-2359
Mailing Address - Country:US
Mailing Address - Phone:856-218-8982
Mailing Address - Fax:856-582-0892
Practice Address - Street 1:570 EGG HARBOR RD
Practice Address - Street 2:SUITE B6
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-2359
Practice Address - Country:US
Practice Address - Phone:856-218-8982
Practice Address - Fax:856-582-0892
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
40QA00851500225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ316675Medicare UPIN