Alicia Lynne Vann, PT, DPT | |
17 Sunrise Dr, Oswego, NY 13126-1838 | |
(315) 342-4790 | |
Not Available |
Full Name | Alicia Lynne Vann |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 17 Sunrise Dr, Oswego, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124542204 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2305211386 (Virginia) | Secondary |
225100000X | Physical Therapist | 048387 (New York) | Primary |
Provider Name | Fox Rehabilitation Services Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1609814755 PECOS PAC ID: 1355347410 Enrollment ID: O20090811000339 |
Mailing Address | Practice Location Address |
---|---|
Alicia Lynne Vann, PT, DPT 58 Bingham Rd, Oswego, NY 13126-6564 Ph: () - | Alicia Lynne Vann, PT, DPT 17 Sunrise Dr, Oswego, NY 13126-1838 Ph: (315) 342-4790 |
Katherine Price, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 159 W 1st St, Oswego, NY 13126 Phone: 315-342-9575 | |
Marie Reyes-julian, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 110 W 6th St, 140, Oswego, NY 13126 Phone: 315-349-5558 Fax: 315-349-5652 | |
Mr. Wai-cheuk Richard Kung, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 110 W 6th St, Oswego, NY 13126 Phone: 315-349-5558 | |
Mrs. Abbey Gale Dela Cruz Bautista, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 159 W 1st St, Oswego, NY 13126 Phone: 315-342-9575 | |
Mr. Rex Fujiwara, MPT, OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 159 W 1st St, Oswego, NY 13126 Phone: 315-342-9575 | |
Mrs. Sandra J Guenter, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 110 West Sixth Street, Suite 140, Oswego, NY 13126 Phone: 315-594-2450 | |
Dr. Sarka Prada Coomber, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 364 East Ave, Oswego, NY 13126 Phone: 315-326-0056 Fax: 315-326-0102 |