Marissa M Hanlon, PT | |
10 Canalview Mall, Suite C, Fulton, NY 13069-1838 | |
(315) 593-8786 | |
(315) 598-5538 |
Full Name | Marissa M Hanlon |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 10 Canalview Mall, Fulton, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962859553 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 026602-1 (New York) | Primary |
Provider Name | Performance Physical Therapy Pc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1437346178 PECOS PAC ID: 2062301831 Enrollment ID: O20040311000666 |
Mailing Address | Practice Location Address |
---|---|
Marissa M Hanlon, PT 10 Canalview Mall, Suite C, Fulton, NY 13069-1838 Ph: (315) 593-8786 | Marissa M Hanlon, PT 10 Canalview Mall, Suite C, Fulton, NY 13069-1838 Ph: (315) 593-8786 |
Donna Warren, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7 Morrill Pl, Fulton, NY 13069 Phone: 315-598-4859 | |
Mrs. Meghan Kathleen Hill, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 706 South 4th St, Fulton, NY 13069 Phone: 315-887-5250 Fax: 315-887-5251 | |
Jeffrey David Wilson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10 Canalview Mall, Suite C, Fulton, NY 13069 Phone: 315-593-8786 Fax: 315-598-5538 | |
Performance Physical Therapy Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 10 Canalview Mall, Suite C, Fulton, NY 13069 Phone: 315-593-8786 Fax: 315-598-5538 | |
Ms. Jody L Francis, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10 Canalview Mall, Suite C, Fulton, NY 13069 Phone: 315-593-8786 Fax: 315-598-5538 | |
Ryan Kyle Martin, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10 Canalview Mall Ste C, Fulton, NY 13069 Phone: 315-593-8786 Fax: 315-598-5538 | |
Daniel Petrescu, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 453 Park St.,, Michaud Residential Healthcare, Fulton, NY 13069 Phone: 315-592-2924 |