Lisa Nicole Nguyen, | |
36 Workman Ter, Lincoln, ME 04457-1162 | |
(207) 794-6534 | |
Not Available |
Full Name | Lisa Nicole Nguyen |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 36 Workman Ter, Lincoln, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700436193 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT5428 (Maine) | Primary |
Provider Name | Out Patient At Home Physical Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1356991525 PECOS PAC ID: 7911333687 Enrollment ID: O20200129001432 |
Mailing Address | Practice Location Address |
---|---|
Lisa Nicole Nguyen, 1510 Baywood Dr, West Fargo, ND 58078-4314 Ph: (701) 552-2814 | Lisa Nicole Nguyen, 36 Workman Ter, Lincoln, ME 04457-1162 Ph: (207) 794-6534 |
Sandra Murley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7 Transapline Road, Lincoln, ME 04457 Phone: 207-794-7228 Fax: 207-794-4001 | |
Dr. Rohmoya Shantea Bailey, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 36 Workman Ter, Lincoln, ME 04457 Phone: 207-794-6025 | |
Ms. Susan Ruth Lifer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Taylor St, Lincoln, ME 04457 Phone: 207-794-8025 | |
Jessica Perna, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 36 Workman Ter, Lincoln, ME 04457 Phone: 207-794-6534 | |
Dr. Jacob T Bartz-broussard, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 36 Workman Ter, Lincoln, ME 04457 Phone: 207-794-6025 | |
Janet Gavalas, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 36 Workman Ter, Lincoln, ME 04457 Phone: 207-794-6025 | |
Martine Legassey, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 37 Main St, Lincoln, ME 04457 Phone: 207-794-7228 |