Bailey Ann Souder, | |
9501 Old Annapolis Rd Ste 125, Ellicott City, MD 21042-6355 | |
(410) 997-1063 | |
Not Available |
Full Name | Bailey Ann Souder |
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Gender | Female |
Speciality | Physical Therapist |
Location | 9501 Old Annapolis Rd Ste 125, Ellicott City, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1851023857 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 29474 (Maryland) | Primary |
Provider Name | Privia Medical Group Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140522000040 |
Mailing Address | Practice Location Address |
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Bailey Ann Souder, 9501 Old Annapolis Rd, Ellicott City, MD 21042-6314 Ph: () - | Bailey Ann Souder, 9501 Old Annapolis Rd Ste 125, Ellicott City, MD 21042-6355 Ph: (410) 997-1063 |
Ms. Alice M Cheung, B.S. IN PHYSICAL THE Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5330 Dorsey Hall Dr, Ellicott City, MD 21042 Phone: 410-772-5865 | |
Mr. Paolo Lumucso Calma, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3290 N Ridge Rd, Suite 290, Ellicott City, MD 21043 Phone: 410-750-9006 Fax: 410-750-0787 | |
Monica Morales, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3130 Evergreen Way, Ellicott City, MD 21042 Phone: 410-531-7558 Fax: 410-531-7558 | |
Jennifer O Vizcarrondo, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10910 Route 108, Ellicott City, MD 21042 Phone: 443-745-5245 | |
Mrs. Lisa Marie Massie, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4801 Dorsey Hall Dr Ste 130, Ellicott City, MD 21042 Phone: 443-393-3788 Fax: 443-378-3533 | |
John Logan Cooper, D.P.T Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5024 Dorsey Hall Dr, Ste 103, Ellicott City, MD 21042 Phone: 410-740-1047 Fax: 410-740-2280 | |
Lucas Hyun, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10081 Colonial Dr, Ellicott City, MD 21042 Phone: 443-878-7273 |