Dr Stanley C Aguh, DPT | |
4511 Knox Rd Ste 102, College Park, MD 20740-3380 | |
(301) 277-6616 | |
(301) 277-6618 |
Full Name | Dr Stanley C Aguh |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 4511 Knox Rd Ste 102, College Park, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194369967 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 12512 (Connecticut) | Secondary |
225100000X | Physical Therapist | 29602 (Maryland) | Primary |
Provider Name | Professional Sportscare & Rehab Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1033142294 PECOS PAC ID: 9335137363 Enrollment ID: O20130522000082 |
Mailing Address | Practice Location Address |
---|---|
Dr Stanley C Aguh, DPT 275 Middle Tpke W, Manchester, CT 06040-3834 Ph: (860) 533-0356 | Dr Stanley C Aguh, DPT 4511 Knox Rd Ste 102, College Park, MD 20740-3380 Ph: (301) 277-6616 |
Eddy Chen, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4511 Knox Rd Ste 102, College Park, MD 20740 Phone: 301-277-6616 | |
Angela Marie Prescott, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4920 Niagara Rd Ste 303, College Park, MD 20740 Phone: 301-477-1229 Fax: 301-477-1348 | |
Tamika Hardy, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4321 Hartwick Rd, 101, College Park, MD 20740 Phone: 301-277-6616 Fax: 301-277-6618 | |
Jasmine Gabrielle Jackson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4321 Hartwick Rd Ste 101, College Park, MD 20740 Phone: 301-277-6616 Fax: 301-277-6618 | |
Trustway Team Services Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: University Of Maryland 379 Field House Dr, Gossett Football Team House, College Park, MD 20742 Phone: 334-434-0938 Fax: 404-835-4073 | |
Nicholas Bell, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4321 Hartwick Rd, Ste 101, College Park, MD 20740 Phone: 301-277-6616 |