| Mark Oliver Vicerra Borja, OTR/L | |
|
700 W 40th St, Baltimore, MD 21211-2140 | |
| (410) 235-8660 | |
| Not Available |
| Full Name | Mark Oliver Vicerra Borja |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 700 W 40th St, Baltimore, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831770882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 09257 (Maryland) | Primary |
| 225200000X | Physical Therapy Assistant | A4265 (Maryland) | Secondary |
| Provider Name | Rehab On Wheels Ot Pt Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1245754225 PECOS PAC ID: 0042585358 Enrollment ID: O20171011003184 |
| Provider Name | Anchor Health Homecare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1356071237 PECOS PAC ID: 2163802570 Enrollment ID: O20220701001011 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Oliver Vicerra Borja, OTR/L 3632 Willow St, Hampstead, MD 21074-1890 Ph: (410) 382-8628 | Mark Oliver Vicerra Borja, OTR/L 700 W 40th St, Baltimore, MD 21211-2140 Ph: (410) 235-8660 |
Stephanie B. Miller, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6000 Bellona Ave, Baltimore, MD 21212 Phone: 410-464-6933 Fax: 410-323-2896 | |
Andrea Sobczak, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 416 E 30th St, Baltimore, MD 21218 Phone: 410-889-0727 | |
Caitlin Emma Synovec, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 421 Fallsway, Baltimore, MD 21202 Phone: 407-716-0528 | |
Miss Tierra Nicole Jones, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 22 S Greene St, Baltimore, MD 21201 Phone: 410-328-7667 | |
Bracha Mifsud, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 6202 Gist Ave, Baltimore, MD 21215 Phone: 410-292-8725 | |
Savanna Ivill, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 6451 N Charles St, Baltimore, MD 21212 Phone: 877-407-3422 Fax: 877-407-4329 | |
Bryn Yurick, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6451 N Charles St, Baltimore, MD 21212 Phone: 877-407-3422 Fax: 877-407-4329 |