Eric Joseph Supnet Sevidal, | |
3290 Executive Center Ii, Cambridge Healthcare North Ridge, Ellicott, MD 21043 | |
(410) 750-9006 | |
Not Available |
Full Name | Eric Joseph Supnet Sevidal |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 3290 Executive Center Ii, Ellicott, Maryland |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427232461 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (North Carolina) | Primary |
Mailing Address | Practice Location Address |
---|---|
Eric Joseph Supnet Sevidal, 172 Manzanita Pl, Hercules, CA 94547-1161 Ph: (510) 245-1252 | Eric Joseph Supnet Sevidal, 3290 Executive Center Ii, Cambridge Healthcare North Ridge, Ellicott, MD 21043 Ph: (410) 750-9006 |
Lourizza Mae Catague Sampalocia, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3290 Executive Center Ii, North Ridge Road Suite 290, Ellicott, MD 21043 Phone: 410-750-9006 | |
Mr. Ernesto Lopez Grecia Jr., PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Executive Center Ii, 3290 North Ridge Road, Suite 290, Ellicott, MD 21043 Phone: 410-292-4008 |