Dr Kesena Eroraha, DPT | |
12901 River Oak Pl, Laurel, MD 20708-2349 | |
(240) 305-1290 | |
Not Available |
Full Name | Dr Kesena Eroraha |
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Gender | Male |
Speciality | Physical Therapist |
Location | 12901 River Oak Pl, Laurel, 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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1407230154 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | 2305209571 (Virginia) | Primary |
Provider Name | Southern California Permanente Medical Group |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Dr Kesena Eroraha, DPT 393 E Walnut St, Fl 3, Pasadena, CA 91188-0001 Ph: (240) 305-1290 | Dr Kesena Eroraha, DPT 12901 River Oak Pl, Laurel, MD 20708-2349 Ph: (240) 305-1290 |
Kristina Ling, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14409 Greenview Dr Ste 102, Laurel, MD 20708 Phone: 301-498-8100 Fax: 301-498-0009 | |
Yasaman Razavi, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13946 Baltimore Ave, Laurel, MD 20707 Phone: 301-498-2212 Fax: 301-446-1647 | |
Susan Kruger, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14409 Greenview Dr Ste 102, Laurel, MD 20708 Phone: 301-498-8100 | |
Ms. Michele Jacqueline Epps, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14502 Greenview Dr, St. 406, Laurel, MD 20708 Phone: 301-362-0114 | |
Leslie Goddard, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14409 Greenview Dr, Suite 102, Laurel, MD 20708 Phone: 301-498-8100 Fax: 301-498-0009 | |
Marisa Hastings, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14190a Baltimore Ave, Laurel, MD 20707 Phone: 240-542-5924 Fax: 301-317-5629 | |
United Physical Therapy Associates Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7634 N Arbory Way, Laurel, MD 20707 Phone: 301-919-4386 |