Maryanne Wilson, | |
335 W South Boulder Rd Ste 1, Louisville, CO 80027-1192 | |
(415) 608-7081 | |
Not Available |
Full Name | Maryanne Wilson |
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Gender | Female |
Speciality | Physical Medicine & Rehabilitation |
Location | 335 W South Boulder Rd Ste 1, Louisville, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508567090 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 0018952 (Colorado) | Primary |
Entity Name | Nishimoto And Neujahr Physical Therapy Llc |
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Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Entity Identifiers | NPI Number: 1477831394 PECOS PAC ID: 4789847120 Enrollment ID: O20120522000785 |
Entity Name | Scl Health Medical Group - Denver Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083021083 PECOS PAC ID: 0840513552 Enrollment ID: O20150106000131 |
Entity Name | Colorado Luna Care Physical Therapy Llc |
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Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Entity Identifiers | NPI Number: 1891461125 PECOS PAC ID: 7517363617 Enrollment ID: O20210914002694 |
Mailing Address | Practice Location Address |
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Maryanne Wilson, Po Box 1248, Fremont, CA 94538-0124 Ph: (415) 608-7081 | Maryanne Wilson, 335 W South Boulder Rd Ste 1, Louisville, CO 80027-1192 Ph: (415) 608-7081 |
Mrs. Nicole Morrison, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 165 Mccaslin Blvd Unit B, Louisville, CO 80027 Phone: 303-604-6441 Fax: 303-957-1955 | |
Dr. Kaylee Diana Mcintosh, DPT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1855 Plaza Dr, Louisville, CO 80027 Phone: 303-928-3849 | |
Miranda Christine Whitley, Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 315 W South Boulder Rd, Louisville, CO 80027 Phone: 303-666-4151 |