Mr Joseph Bandura, | |
15900 Snow Rd, Suite 500, Brookpark, OH 44142-2859 | |
(216) 265-3454 | |
Not Available |
Full Name | Mr Joseph Bandura |
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Gender | Male |
Speciality | Physical Therapist |
Location | 15900 Snow Rd, Brookpark, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023073129 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT - 7277 (Ohio) | Primary |
Provider Name | Novacare Rehabilitation Of Ohio Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1952970824 PECOS PAC ID: 0345159315 Enrollment ID: O20130523000206 |
Provider Name | Physiotherapy Associates Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1952348419 PECOS PAC ID: 3577470442 Enrollment ID: O20160330001796 |
Mailing Address | Practice Location Address |
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Mr Joseph Bandura, 4262 Windmill Ct, Medina, OH 44256-6920 Ph: () - | Mr Joseph Bandura, 15900 Snow Rd, Suite 500, Brookpark, OH 44142-2859 Ph: (216) 265-3454 |
Jessica Mcclellan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15900 Snow Rd, Brookpark, OH 44142 Phone: 216-265-3454 Fax: 216-267-5553 | |
Kathleen Killian, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15900 Snow Rd Ste 500, Brookpark, OH 44142 Phone: 216-265-3454 | |
Kathryn Stanton, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15900 Snow Rd, Brookpark, OH 44142 Phone: 216-265-3454 Fax: 216-267-5553 |