| Gina Vitantonio, | |
|
801 W Ann Arbor Trl Ste 220, Plymouth, MI 48170-6224 | |
| (866) 991-0900 | |
| Not Available |
| Full Name | Gina Vitantonio |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 801 W Ann Arbor Trl Ste 220, Plymouth, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629760137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT020485 (Ohio) | Primary |
| Provider Name | Proactive Therapy Of North Carolina Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1568468502 PECOS PAC ID: 6305753120 Enrollment ID: O20130207000475 |
| Provider Name | Select Physical Therapy Holdings Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1669432175 PECOS PAC ID: 9537076401 Enrollment ID: O20161201002068 |
| Mailing Address | Practice Location Address |
|---|---|
| Gina Vitantonio, 801 W Ann Arbor Trl Ste 220, Plymouth, MI 48170-6224 Ph: (866) 991-0900 | Gina Vitantonio, 801 W Ann Arbor Trl Ste 220, Plymouth, MI 48170-6224 Ph: (866) 991-0900 |
Tyler Donald Bolley, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9368 N Lilley Rd, Plymouth, MI 48170 Phone: 734-416-3900 Fax: 734-416-3903 | |
Eric Normand Duquette, Physical Therapist Medicare: Medicare Enrolled Practice Location: 801 W Ann Arbor Trl Ste 220, Plymouth, MI 48170 Phone: 866-991-0900 | |
Joel Hegeman, Physical Therapist Medicare: Medicare Enrolled Practice Location: 801 W Ann Arbor Trl, Suite 220, Plymouth, MI 48170 Phone: 866-991-0900 | |
Emily Jean Soto, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 580 Forest Ave Ste 1b, Plymouth, MI 48170 Phone: 734-673-8545 Fax: 734-545-8135 | |
Dorene Dudek, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14300 N Beck Rd, Plymouth, MI 48170 Phone: 248-380-6222 Fax: 248-380-6224 | |
Heather Ngo, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 801 W Ann Arbor Trl Ste 220, Plymouth, MI 48170 Phone: 866-991-0900 | |
Aaron Hinton, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 W Ann Arbor Trl Ste 220, Plymouth, MI 48170 Phone: 866-991-0900 |