Lucille Bantugan, | |
154 N Artizan St, Williamsport, MD 21795-1104 | |
(301) 223-7971 | |
Not Available |
Full Name | Lucille Bantugan |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 154 N Artizan St, Williamsport, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811326069 | NPI | - | NPPES |
1447657507 | Other | MD | NPI TYPE 2 (ORGANIZATION NPI) |
4374045-00 | Medicaid | MD | |
46-3684374 | Other | MD | TAX ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 24330 (Maryland) | Primary |
Mailing Address | Practice Location Address |
---|---|
Lucille Bantugan, 325 Dayspring Ln, Hagerstown, MD 21742-3456 Ph: (240) 353-6882 | Lucille Bantugan, 154 N Artizan St, Williamsport, MD 21795-1104 Ph: (301) 223-7971 |
Jesse Zeger, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 10312 Governor Lane Blvd Ste 5007, Williamsport, MD 21795 Phone: 240-329-6086 | |
Franklin R. Gadon, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 154 N Artizan St, Williamsport, MD 21795 Phone: 301-223-6301 Fax: 301-223-7941 | |
Mrs. Sheilanor Maralit Guarin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 154 N Artizan St, Williamsport, MD 21795 Phone: 301-223-7941 Fax: 301-223-7941 | |
Flagship Rehabilitation, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 154 N Artizan St, Williamsport, MD 21795 Phone: 301-223-6301 Fax: 240-366-3372 |