Provider Demographics
NPI:1780925354
Name:CAMPANELLA, THERESA MARIE (DPT)
Entity type:Individual
Prefix:DR
First Name:THERESA
Middle Name:MARIE
Last Name:CAMPANELLA
Suffix:
Gender:F
Credentials:DPT
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Mailing Address - Street 1:833 CHESTNUT ST
Mailing Address - Street 2:STE 1402
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-4404
Mailing Address - Country:US
Mailing Address - Phone:800-321-9999
Mailing Address - Fax:267-339-3761
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:856-218-8050
Practice Address - Fax:856-218-8173
Is Sole Proprietor?:No
Enumeration Date:2013-03-07
Last Update Date:2016-05-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ40QA01487900225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist