Andrew X Destefano, DPT | |
262 Willow Ave Apt 2, Somerville, MA 02144-2263 | |
(617) 863-7003 | |
Not Available |
Full Name | Andrew X Destefano |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 13 Years |
Location | 262 Willow Ave Apt 2, Somerville, Massachusetts |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831443720 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 20296 (Massachusetts) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pinnacle Rehabilitation Network Llc | 7618872086 | 99 |
Provider Name | Pinnacle Rehabilitation Network Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1679582175 PECOS PAC ID: 7618872086 Enrollment ID: O20071022000211 |
Mailing Address | Practice Location Address |
---|---|
Andrew X Destefano, DPT 262 Willow Ave Apt 2, Somerville, MA 02144-2263 Ph: (617) 863-7003 | Andrew X Destefano, DPT 262 Willow Ave Apt 2, Somerville, MA 02144-2263 Ph: (617) 863-7003 |
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Ms. Lauren Grace Kohler, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 187 Highland Ave, Somerville, MA 02143 Phone: 617-776-4776 | |
Brianna Sobuta, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 259 Elm St, 2nd Floor, Somerville, MA 02144 Phone: 617-623-6300 | |
Lauren Lozier, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 259 Elm St Ste 302, Somerville, MA 02144 Phone: 617-623-6300 |