Adaobi E Igboanugo, | |
700 W 40th St, Baltimore, MD 21211-2140 | |
(410) 235-8860 | |
Not Available |
Full Name | Adaobi E Igboanugo |
---|---|
Gender | Female |
Speciality | Physical Therapist - Geriatrics |
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 |
---|---|---|---|
1720569171 | NPI | - | NPPES |
25846 | Other | MD | STATE PT LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251G0304X | Physical Therapist - Geriatrics | 25846 (Maryland) | Primary |
Provider Name | Proactive Therapy, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1023040128 PECOS PAC ID: 1951297092 Enrollment ID: O20040225000518 |
Mailing Address | Practice Location Address |
---|---|
Adaobi E Igboanugo, 1108 N Mount St Apt 2, Baltimore, MD 21217-2216 Ph: (312) 978-7878 | Adaobi E Igboanugo, 700 W 40th St, Baltimore, MD 21211-2140 Ph: (410) 235-8860 |
Liberty Medical &injury Center Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7034 Liberty Rd, Baltimore, MD 21207 Phone: 410-580-9191 | |
Ms. Susan Kay Dubroff, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1708 W Rogers Ave, Baltimore, MD 21209 Phone: 410-578-5224 | |
Rhonda G Stallings, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 707 N Broadway, Kennedy Krieger Institute, Baltimore, MD 21205 Phone: 443-923-9200 Fax: 443-923-9405 | |
Kimberly Ann Cardosa, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2200 Kernan Dr, Baltimore, MD 21207 Phone: 410-448-6323 Fax: 410-448-6338 | |
Joanne Gamble, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5731 Cottonworth Ave, Baltimore, MD 21209 Phone: 410-708-4763 | |
Evangeline Lajom Grecia, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 E North Ave, Baltimore, MD 21202 Phone: 443-642-4208 | |
Steven G Peters, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1420 Clarkview Rd, Baltimore, MD 21209 Phone: 443-213-0395 |