Dara Faye Gonzales Alicando, PT | |
12230 Roundwood Rd, Timonium, MD 21093-3233 | |
(410) 252-0880 | |
(443) 632-0690 |
Full Name | Dara Faye Gonzales Alicando |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 12230 Roundwood Rd, Timonium, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962068254 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 22877 (Maryland) | Primary |
Provider Name | Specialty Pain Management Services |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1316516909 PECOS PAC ID: 0547664435 Enrollment ID: O20210816000777 |
Mailing Address | Practice Location Address |
---|---|
Dara Faye Gonzales Alicando, PT 20 Tilton Ct, Nottingham, MD 21236-5183 Ph: (443) 844-6789 | Dara Faye Gonzales Alicando, PT 12230 Roundwood Rd, Timonium, MD 21093-3233 Ph: (410) 252-0880 |
Ati Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7 W Ridgely Rd, Suite A, Timonium, MD 21093 Phone: 443-921-9890 | |
Regina N Shelley, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: One Texas Station Ct, Suite 300, Timonium, MD 21093 Phone: 410-683-2110 Fax: 410-683-2115 | |
Dr. Alicia Howard, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9492 Deereco Rd, Timonium, MD 21093 Phone: 410-308-7182 Fax: 410-308-7179 | |
Lauren Fischer, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 61 E Padonia Rd Ste E, Timonium, MD 21093 Phone: 410-371-3329 | |
Mr. Jeremy Elliott Beyer, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2240 Greenspring Dr, Timonium, MD 21093 Phone: 410-989-3833 | |
Mrs. Gina Elizabeth Hisky, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2240 Greenspring Dr, Timonium, MD 21093 Phone: 410-989-3833 | |
Patrick Miller, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2118 Greenspring Dr Ste 200, Timonium, MD 21093 Phone: 855-546-1134 |