Ms Jeani Vichayanonda, DPT | |
4470 Regency Pl, Suite 100, White Plains, MD 20695-3071 | |
(301) 934-5336 | |
Not Available |
Full Name | Ms Jeani Vichayanonda |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 4470 Regency Pl, White Plains, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770972671 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 25337 (Maryland) | Primary |
Provider Name | Texas Luna Care Physical Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1790309656 PECOS PAC ID: 0648692723 Enrollment ID: O20200618000076 |
Mailing Address | Practice Location Address |
---|---|
Ms Jeani Vichayanonda, DPT 4470 Regency Pl, Suite 100, White Plains, MD 20695-3071 Ph: (301) 934-5336 | Ms Jeani Vichayanonda, DPT 4470 Regency Pl, Suite 100, White Plains, MD 20695-3071 Ph: (301) 934-5336 |
Orthopedic & Sports Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 10665 Stanhaven Pl, Suite 103, White Plains, MD 20695 Phone: 301-645-6680 Fax: 301-645-5363 | |
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Angela R. Richards, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10665 Stanhaven Pl, Suite 103, White Plains, MD 20695 Phone: 301-645-6680 Fax: 301-645-5363 | |
Dr. Aurora Anne Clements, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4240 Altamont Pl Ste 104, White Plains, MD 20695 Phone: 301-893-2345 | |
Dr. Robert Michael Connolly, PT, DPT, MBA Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4470 Regency Pl Ste 100, White Plains, MD 20695 Phone: 301-645-6680 | |
Dr. Robert Allan Shymansky Jr., PT, DPT, CSCS Physical Therapist Medicare: Medicare Enrolled Practice Location: 4470 Regency Pl Ste 100, White Plains, MD 20695 Phone: 301-934-5336 | |
Miss Taylor Lynn Haude, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4470 Regency Pl Ste 100, White Plains, MD 20695 Phone: 301-934-5336 |