| Egonus Baltimore Pro Therapy And Rehabilitation Pa | |
|
416 Eastern Blvd, Baltimore, MD 21221-6714 | |
| (410) 238-2636 | |
| (410) 238-2601 |
| Full Name | Egonus Baltimore Pro Therapy And Rehabilitation Pa |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 416 Eastern Blvd, Baltimore, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245618925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Anna Lissa Sison |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548601891 PECOS PAC ID: 8426290560 Enrollment ID: I20130820000347 |
| Mailing Address | Practice Location Address |
|---|---|
| Egonus Baltimore Pro Therapy And Rehabilitation Pa 416 Eastern Blvd, Baltimore, MD 21221-6714 Ph: (410) 238-2636 | Egonus Baltimore Pro Therapy And Rehabilitation Pa 416 Eastern Blvd, Baltimore, MD 21221-6714 Ph: (410) 238-2636 |
Stephanie B. Miller, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6000 Bellona Ave, Baltimore, MD 21212 Phone: 410-464-6933 Fax: 410-323-2896 | |
Andrea Sobczak, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 416 E 30th St, Baltimore, MD 21218 Phone: 410-889-0727 | |
Caitlin Emma Synovec, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 421 Fallsway, Baltimore, MD 21202 Phone: 407-716-0528 | |
Miss Tierra Nicole Jones, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 22 S Greene St, Baltimore, MD 21201 Phone: 410-328-7667 | |
Bracha Mifsud, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 6202 Gist Ave, Baltimore, MD 21215 Phone: 410-292-8725 | |
Savanna Ivill, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 6451 N Charles St, Baltimore, MD 21212 Phone: 877-407-3422 Fax: 877-407-4329 | |
Bryn Yurick, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6451 N Charles St, Baltimore, MD 21212 Phone: 877-407-3422 Fax: 877-407-4329 |