Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MAIKUTLO B KEBAETSE, PH.D, P.T.
ActiveMR. MAIKUTLO B KEBAETSE, PH.D, P.T. is a Physical Therapy Assistant healthcare provider located in PAULSBORO, New Jersey. NPI 1326190653 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · PAULSBORO, NJ
Registration Details
- NPI Number
- 1326190653
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 17, 2007 (19.55038811455 yrs)
- Last Updated
- Jul 9, 2007
- License
-
40QA00685900 (NJ)
Practice Information
- Address
-
541 MANTUA AVEPAULSBORO, NJ, 080661178Browse NJ providers · Browse ZIP 08066
- Phone
- 1856224000
- Fax
- 8562240466
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in PAULSBORO, NJ
| Name | Credential | NPI |
|---|---|---|
| MR. KENNETH DANIEL HOLLINGSWORTH | P.T. | 1881810646 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.