Gavin Palma, | |
2410 Evergreen Rd Ste 100, Gambrills, MD 21054-1979 | |
(410) 451-8140 | |
Not Available |
Full Name | Gavin Palma |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 2410 Evergreen Rd Ste 100, Gambrills, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255006268 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT305216 (California) | Primary |
Provider Name | Mdrs Spine & Sport Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1952394603 PECOS PAC ID: 3274446687 Enrollment ID: O20031111000725 |
Mailing Address | Practice Location Address |
---|---|
Gavin Palma, 1823 Mills Ct, San Marcos, CA 92069-3358 Ph: (858) 354-9550 | Gavin Palma, 2410 Evergreen Rd Ste 100, Gambrills, MD 21054-1979 Ph: (410) 451-8140 |
Steven Melchiorre, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2389 Brandermill Blvd Ste 103, Gambrills, MD 21054 Phone: 410-774-9821 | |
Chelsea Shaunte Nelson, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2389 Brandermill Blvd Ste 103, Gambrills, MD 21054 Phone: 410-774-9821 | |
Eugene Khoroshan, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2634 Brandermill Blvd, Gambrills, MD 21054 Phone: 410-721-7201 | |
Lee Koch, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2410 Evergreen Rd Ste 100, Gambrills, MD 21054 Phone: 410-451-8150 Fax: 410-451-8151 | |
Margaret Cuddy Frey, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 740 State Route 3 S, Gambrills, MD 21054 Phone: 443-645-3162 | |
Scott Goyette, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2634 Brandermill Blvd, Gambrills, MD 21054 Phone: 410-721-7201 Fax: 410-721-7580 |