Charlotte Giovanna Ennis, DPT | |
240 W Seneca St, Manlius, NY 13104-3401 | |
(315) 682-0325 | |
Not Available |
Full Name | Charlotte Giovanna Ennis |
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Gender | Female |
Speciality | Physical Therapist |
Location | 240 W Seneca St, Manlius, 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 |
---|---|---|---|
1386352656 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Blair Investments Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1912052242 PECOS PAC ID: 9234161035 Enrollment ID: O20050831000989 |
Mailing Address | Practice Location Address |
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Charlotte Giovanna Ennis, DPT 703 Granite St Ste 3, Braintree, MA 02184-5350 Ph: (781) 961-3370 | Charlotte Giovanna Ennis, DPT 240 W Seneca St, Manlius, NY 13104-3401 Ph: (315) 682-0325 |
Youssef Boles, Physical Therapist Medicare: Medicare Enrolled Practice Location: 8091 Wild Lemon Ln, Manlius, NY 13104 Phone: 315-450-0371 | |
Damond P Archung, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 105 W Seneca St, Manlius, NY 13104 Phone: 315-682-3387 | |
Mrs. Susan Marie Demas, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8427 Woodbox Rd, Manlius, NY 13104 Phone: 315-345-8652 | |
Mr. Wayne W. Rath, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 115 Fairgrounds Drive, Suite 2, Manlius, NY 13104 Phone: 315-682-3387 Fax: 315-682-3392 | |
Steven Procopio, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 240 W Seneca St, Manlius, NY 13104 Phone: 315-682-0325 Fax: 315-682-0295 | |
Travis English Macrides, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8214 Verbeck Dr, Manlius, NY 13104 Phone: 315-399-9892 |