Tenisha Brathwaite, | |
9600 Milestone Way, Apt 4014, College Park, MD 20740-4252 | |
(240) 606-1368 | |
Not Available |
Full Name | Tenisha Brathwaite |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 9600 Milestone Way, College Park, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356766356 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (District Of Columbia) | Primary |
Provider Name | Fox Rehab Ot Md Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073850343 PECOS PAC ID: 4981847977 Enrollment ID: O20130823000042 |
Mailing Address | Practice Location Address |
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Tenisha Brathwaite, 9600 Milestone Way, Apt 4014, College Park, MD 20740-4252 Ph: () - | Tenisha Brathwaite, 9600 Milestone Way, Apt 4014, College Park, MD 20740-4252 Ph: (240) 606-1368 |
Janelle Elizabeth Boogar, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4005 Metzerott Rd, College Park, MD 20740 Phone: 352-552-8909 | |
Rahul Aggarwal, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9348 Cherry Hill Rd, Apt 515, College Park, MD 20740 Phone: 716-235-0937 | |
Sagar Puri, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9348 Cherry Hill Rd, Apt 403, College Park, MD 20740 Phone: 716-352-7528 |