Madison Lucille Hart, PT | |
14 W Church St, Selbyville, DE 19975-9402 | |
(302) 524-2097 | |
Not Available |
Full Name | Madison Lucille Hart |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 14 W Church St, Selbyville, Delaware |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275227837 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | CP031747T (Delaware) | Secondary |
225100000X | Physical Therapist | 29446 (Maryland) | Primary |
Provider Name | Therafit Enterprises Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1366772568 PECOS PAC ID: 8921255688 Enrollment ID: O20140730001077 |
Mailing Address | Practice Location Address |
---|---|
Madison Lucille Hart, PT 6204 Candle Ct, Sykesville, MD 21784-8112 Ph: (410) 443-3958 | Madison Lucille Hart, PT 14 W Church St, Selbyville, DE 19975-9402 Ph: (302) 524-2097 |
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Lisa Ash, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6 Ellis Alley Unit 6, Selbyville, DE 19975 Phone: 302-524-8333 Fax: 302-524-8891 | |
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