Lorna Kredell, | |
404 E Front St, Laurel, DE 19956-1741 | |
(302) 280-6920 | |
(302) 280-6921 |
Full Name | Lorna Kredell |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 404 E Front St, Laurel, Delaware |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295508992 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | J1-0001652 (Delaware) | Primary |
Provider Name | Lakeside Physical Therapy, Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1184854929 PECOS PAC ID: 1658426093 Enrollment ID: O20090908000525 |
Mailing Address | Practice Location Address |
---|---|
Lorna Kredell, 404 E Front St, Laurel, DE 19956-1741 Ph: (302) 280-6920 | Lorna Kredell, 404 E Front St, Laurel, DE 19956-1741 Ph: (302) 280-6920 |
Miss Christeen Baguilat Solang, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 400 S Central Ave, Laurel, DE 19956 Phone: 302-280-6953 Fax: 302-715-5001 | |
Matthew Whaley, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 30214 Sussex Hwy Unit 4b, Laurel, DE 19956 Phone: 302-875-8640 | |
Mr. Metodio Amahit Pamplona Jr., P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 404 E Front St, Laurel, DE 19956 Phone: 302-280-6920 Fax: 302-280-6921 | |
Myungsung Ko, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 404 E Front St, Laurel, DE 19956 Phone: 302-280-6920 | |
Patricia Petrecca, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 S Central Avenue, Laurel, DE 19956 Phone: 302-280-6953 Fax: 302-280-5001 | |
Phoenix Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 30214 Sussex Hwy Unit 4b, Laurel, DE 19956 Phone: 302-875-8640 Fax: 302-875-8642 |