Miss Tejal Kishore Sanover, | |
200 E 16th St, Frederick, MD 21701-4400 | |
(301) 662-8700 | |
Not Available |
Full Name | Miss Tejal Kishore Sanover |
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Gender | Female |
Speciality | Physical Therapist |
Location | 200 E 16th St, Frederick, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093028862 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT 032386-1 (New York) | Secondary |
225100000X | Physical Therapist | 27425 (Maryland) | Primary |
Provider Name | Healthpro Heritage Rehab & Fitness Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1588013155 PECOS PAC ID: 6507832573 Enrollment ID: O20160809003104 |
Mailing Address | Practice Location Address |
---|---|
Miss Tejal Kishore Sanover, 22944 Newcut Rd # 2302, Clarksburg, MD 20871-9307 Ph: (917) 287-8728 | Miss Tejal Kishore Sanover, 200 E 16th St, Frederick, MD 21701-4400 Ph: (301) 662-8700 |
Pivot Physical Therapy Of Maryland Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 141 Thomas Johnson Dr, Ste 180, Frederick, MD 21702 Phone: 301-620-7478 Fax: 301-620-7479 | |
Janine Velasquez Bautista, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7819 Rocky Springs Rd, Frederick, MD 21702 Phone: 877-407-3422 Fax: 877-407-4329 | |
James R. Bucklin Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5300 Westview Dr Ste 108, Frederick, MD 21703 Phone: 301-732-4754 | |
Michelle Kaminski Vaziri, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 350 Montevue Lane, Frederick, MD 21702 Phone: 240-446-8853 | |
Erin Roosa, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 141 Thomas Johnson Dr, Ste 180, Frederick, MD 21702 Phone: 301-620-7478 | |
Mr. Thomas Michael Stief, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 626 Trail Ave, Frederick, MD 21701 Phone: 301-662-1997 Fax: 301-668-2202 | |
Ashley Wertman, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5301 Buckeystown Pike, Frederick, MD 21704 Phone: 240-215-4668 |