Mrs Katherine Marie Campbell, DPT | |
4214 Fortuna Center Plz, Dumfries, VA 22025-1515 | |
(571) 402-2098 | |
Not Available |
Full Name | Mrs Katherine Marie Campbell |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 4214 Fortuna Center Plz, Dumfries, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841637147 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2305211716 (Virginia) | Primary |
Provider Name | Coach House Physicial Therapy&sports Medicine Center, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1801971601 PECOS PAC ID: 2860425717 Enrollment ID: O20050913000137 |
Mailing Address | Practice Location Address |
---|---|
Mrs Katherine Marie Campbell, DPT 350 New Fidelity Ct, Garner, NC 27529-2665 Ph: (919) 373-2919 | Mrs Katherine Marie Campbell, DPT 4214 Fortuna Center Plz, Dumfries, VA 22025-1515 Ph: (571) 402-2098 |
Punith Kumar Shivapura Nanjundaiah, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3600 Pointe Center Ct Ste 110, Dumfries, VA 22026 Phone: 757-523-1790 | |
Robert W Lyman, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4214 Fortuna Center Plz, Dumfries, VA 22025 Phone: 571-402-2098 Fax: 434-951-2194 | |
Teonette O Velasco, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17453 Jefferson Davis Hwy, Dumfries, VA 22026 Phone: 703-221-3913 Fax: 703-221-3203 | |
Amanda G Hopkins, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3700 Fettler Park Dr, Dumfries, VA 22025 Phone: 703-441-7658 | |
Professional Physical Therapy Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 3767 Fettler Park Dr, Dumfries, VA 22025 Phone: 703-730-6400 | |
Dr. William Glynn Kotulan, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3700 Fettler Park Dr, Dumfries, VA 22025 Phone: 703-441-7500 | |
Mrs. Kathleen Ann Newmeyer, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 Fettler Park, Dumfries Health Center, Dumfries, VA 22025 Phone: 703-441-7500 |