Julie Shane, | |
110 Canal St Ste 3, Lowell, MA 01852-4589 | |
(617) 491-0264 | |
Not Available |
Full Name | Julie Shane |
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Gender | Female |
Speciality | Physical Therapist |
Location | 110 Canal St Ste 3, Lowell, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386994499 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 18691 (Massachusetts) | Primary |
Provider Name | Imago Rehab, Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1205407236 PECOS PAC ID: 1850785056 Enrollment ID: O20220304001060 |
Mailing Address | Practice Location Address |
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Julie Shane, 110 Canal St Ste 3, Lowell, MA 01852-4589 Ph: () - | Julie Shane, 110 Canal St Ste 3, Lowell, MA 01852-4589 Ph: (617) 491-0264 |
Christine Ellen Carignan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 126 Phoenix Ave, Thom Anne Sullivan Center, Lowell, MA 01852 Phone: 978-453-8331 | |
Erin Chenette, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 35 Ymca Dr, Lowell, MA 01852 Phone: 781-679-2003 Fax: 978-746-8718 | |
John Dao-tran, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 176 Walker St, Lowell, MA 01854 Phone: 978-452-9252 Fax: 978-970-0271 | |
Mr. Gregory Evans Crossman Jr., PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1703 Middlesex St, Lowell, MA 01851 Phone: 978-710-7204 Fax: 978-710-5764 | |
Ryan Mahoney, Physical Therapist Medicare: Medicare Enrolled Practice Location: 176 Walker St, Lowell, MA 01854 Phone: 978-452-9252 | |
Samantha Sarkisian, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 35 Ymca Dr, Lowell, MA 01852 Phone: 781-679-2003 Fax: 978-746-8718 | |
Brendan Surette, Physical Therapist Medicare: Medicare Enrolled Practice Location: 176 Walker St, Lowell, MA 01854 Phone: 978-452-9252 |