Marissa Hagenbruch, | |
245 E Nc Highway 54 Ste 103, Durham, NC 27713-2552 | |
(919) 907-3103 | |
(919) 907-3104 |
Full Name | Marissa Hagenbruch |
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Gender | Female |
Speciality | Physical Therapist |
Location | 245 E Nc Highway 54 Ste 103, Durham, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467189357 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Agilitas Usa Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20130807000042 |
Mailing Address | Practice Location Address |
---|---|
Marissa Hagenbruch, 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: () - | Marissa Hagenbruch, 245 E Nc Highway 54 Ste 103, Durham, NC 27713-2552 Ph: (919) 907-3103 |
Charlotte Hunter Pearce, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2701 Pickett Road, The Forest At Duke Retirement Community, Durham, NC 27705 Phone: 919-452-6100 | |
Ms. Robin Nicole Conradi, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 120 William Penn Plz, Durham, NC 27704 Phone: 919-220-5255 Fax: 919-313-1276 | |
Amy Katherine Tally, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2301 Erwin Rd, Durham, NC 27710 Phone: 919-684-8111 | |
Michelle Baumgart, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5705 Fayetteville Rd, Durham, NC 27713 Phone: 919-666-2624 | |
Kelly Mcnaughton Raney, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 209 E Carver St, Durham, NC 27704 Phone: 919-471-2273 | |
Mrs. Claudia Jakiel Leasure, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2609 N Duke St Ste 203, Durham, NC 27704 Phone: 919-220-6532 | |
Steven Fairbanks, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 508 Fulton St, Durham, NC 27705 Phone: 919-286-0411 |