Cecy-lizette Bolanos, | |
307 International Cir Ste 100, Hunt Valley, MD 21030-1387 | |
(410) 606-7720 | |
Not Available |
Full Name | Cecy-lizette Bolanos |
---|---|
Gender | Female |
Speciality | Occupational Therapist - Physical Rehabilitation |
Location | 307 International Cir Ste 100, Hunt Valley, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669970711 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225XP0019X | Occupational Therapist - Physical Rehabilitation | 018527-1 (New York) | Primary |
Provider Name | Outreach Physical & Occupational Therapy & Speech Rehabilitation, Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1841526399 PECOS PAC ID: 2365582665 Enrollment ID: O20091217000370 |
Mailing Address | Practice Location Address |
---|---|
Cecy-lizette Bolanos, 3213 Astoria Blvd Apt 2r, Astoria, NY 11102-1117 Ph: (269) 313-2894 | Cecy-lizette Bolanos, 307 International Cir Ste 100, Hunt Valley, MD 21030-1387 Ph: (410) 606-7720 |
Marissa Gardner, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 307 International Cir Ste 100, Hunt Valley, MD 21030 Phone: 513-268-4924 | |
Mrs. Shulinder Kaur, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 307 International Cir Ste 100, Hunt Valley, MD 21030 Phone: 410-667-7200 | |
Lydia Shepherd, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 307 International Cir Ste 100, Hunt Valley, MD 21030 Phone: 513-268-4924 | |
Megan Dix, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11201 Pepper Rd, Hunt Valley, MD 21031 Phone: 410-527-9505 | |
Emily Margaret Dineen, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11201 Pepper Rd, Hunt Valley, MD 21031 Phone: 410-527-9505 | |
Amber N Oliff, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 11201 Pepper Rd, Hunt Valley, MD 21031 Phone: 410-527-9505 | |
Courtney Ann Kelly, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 307 International Cir Ste 100, Hunt Valley, MD 21030 Phone: 410-667-7200 |