Jianna Bustamante, | |
64 Worcester Providence Tpke, Sutton, MA 01590-2513 | |
(508) 861-1010 | |
Not Available |
Full Name | Jianna Bustamante |
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Gender | Female |
Speciality | Physical Therapist |
Location | 64 Worcester Providence Tpke, Sutton, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477336063 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | 27010 (Massachusetts) | Primary |
Provider Name | Concierge Physical Therapy, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1164935862 PECOS PAC ID: 1658630710 Enrollment ID: O20180117002260 |
Mailing Address | Practice Location Address |
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Jianna Bustamante, 64 Worcester Providence Tpke, Sutton, MA 01590-2513 Ph: () - | Jianna Bustamante, 64 Worcester Providence Tpke, Sutton, MA 01590-2513 Ph: (508) 861-1010 |
Samantha Santiago, Physical Therapist Medicare: Medicare Enrolled Practice Location: 64 Worcester Providence Tpke, Sutton, MA 01590 Phone: 508-861-1010 | |
Ms. Annemarie Mcneil, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 116 Central Tpke, Sutton, MA 01590 Phone: 774-239-4237 Fax: 508-794-9400 | |
Nathaniel Bubacy, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 64 Worcester Providence Tpke, Sutton, MA 01590 Phone: 508-861-1010 | |
Geena Terino, Physical Therapist Medicare: Medicare Enrolled Practice Location: 64 Worcester Providence Tpke, Sutton, MA 01590 Phone: 774-275-0891 | |
Robert Pano, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 45 Putnam Hill Rd, Sutton, MA 01590 Phone: 508-517-0222 | |
Keelin Mcsweeney, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 64 Worcester Providence Tpke, Sutton, MA 01590 Phone: 508-861-1010 |