Marianne Gonzales De Castro, | |
301 Russell Ave, Gaithersburg, MD 20877-2800 | |
(301) 216-4247 | |
Not Available |
Full Name | Marianne Gonzales De Castro |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 301 Russell Ave, Gaithersburg, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649713736 | NPI | - | NPPES |
1447657507 | Other | MD | NPI TYPE 2 (ORGANIZATION NPI) |
4374045-00 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 07548 (Maryland) | Primary |
Provider Name | Healthpro Heritage Rehab & Fitness Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1588013155 PECOS PAC ID: 6507832573 Enrollment ID: O20160809003104 |
Mailing Address | Practice Location Address |
---|---|
Marianne Gonzales De Castro, 2490 Sun Valley Cir, Silver Spring, MD 20906-2230 Ph: (202) 999-7944 | Marianne Gonzales De Castro, 301 Russell Ave, Gaithersburg, MD 20877-2800 Ph: (301) 216-4247 |
Arjoo Bhandari Mekala, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8100 Midcounty Hwy, Gaithersburg, MD 20877 Phone: 013-947-6084 | |
Beverly Uwanaka, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 211 Perry Pkwy Ste 1, Gaithersburg, MD 20877 Phone: 301-916-8540 | |
Ms. Patricia Lynn Kane, O.T. Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 7421 Chrome Mine Rd, Gaithersburg, MD 20882 Phone: 240-432-7421 | |
Mr. Frederick Bernard Covington, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 20203 Goshen Rd, Suite #131, Gaithersburg, MD 20879 Phone: 240-498-2412 Fax: 866-743-5360 | |
Ms. Connie Jean Mulloy, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9136 Goshen Park Pl, Gaithersburg, MD 20882 Phone: 240-683-5437 | |
Abigail Cailyn Sanders, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8506 Hawkins Creamery Rd, Gaithersburg, MD 20882 Phone: 301-518-8612 | |
Jerily Benjamin, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 917 Clopper Rd Apt B4, Gaithersburg, MD 20878 Phone: 347-400-9201 |