Emily Jean Gustin, DPT | |
576 Jefferson Avenue, Mcdonald Army Health Center, Fort Eustis, VA 23604-5548 | |
(757) 314-7522 | |
(757) 314-7524 |
Full Name | Emily Jean Gustin |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 576 Jefferson Avenue, Fort Eustis, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528356664 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2305206980 (Virginia) | Primary |
Provider Name | Maresca Physical Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1285730291 PECOS PAC ID: 6406933449 Enrollment ID: O20080401000878 |
Mailing Address | Practice Location Address |
---|---|
Emily Jean Gustin, DPT 1109 South Sleepy Creek Road, Cross Junction, VA 22625 Ph: (540) 877-0946 | Emily Jean Gustin, DPT 576 Jefferson Avenue, Mcdonald Army Health Center, Fort Eustis, VA 23604-5548 Ph: (757) 314-7522 |
Kathryn Grace Mccarn, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 576 Jefferson Ave, Fort Eustis, VA 23604 Phone: 757-314-7616 | |
Spencer Joseph Muro, D.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 576 Jefferson Ave, Fort Eustis, VA 23604 Phone: 757-820-1076 | |
Francis Michael Licursi, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 576 Jefferson Ave, Fort Eustis, VA 23604 Phone: 578-201-1081 | |
Jessie Yao Shannon, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 576 Jefferson Ave, Mcdonald Army Health Center, Fort Eustis, VA 23604 Phone: 757-314-7522 | |
Allison B Pradhanang, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 576 Jefferson Ave, Fort Eustis, VA 23604 Phone: 757-314-7500 | |
Nicole Dye, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 576 Jefferson Ave, Fort Eustis, VA 23604 Phone: 757-314-7640 | |
Mya R Fields, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 576 Jefferson Ave, Fort Eustis, VA 23604 Phone: 757-314-7616 |