Nicole Christine Sandruck, | |
7629 Belair Rd, Nottingham, MD 21236-4003 | |
(410) 870-2104 | |
Not Available |
Full Name | Nicole Christine Sandruck |
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Gender | Female |
Speciality | Physical Therapist |
Location | 7629 Belair Rd, Nottingham, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083309504 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 29443 (Maryland) | Primary |
Provider Name | Maryland Sportscare & Rehab Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1518951995 PECOS PAC ID: 2860440427 Enrollment ID: O20151113000065 |
Mailing Address | Practice Location Address |
---|---|
Nicole Christine Sandruck, 8200 Evergreen Dr, Baltimore, MD 21234-5509 Ph: (443) 529-6434 | Nicole Christine Sandruck, 7629 Belair Rd, Nottingham, MD 21236-4003 Ph: (410) 870-2104 |
Beverly G. Flores, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4155 Glen Park Rd, Nottingham, MD 21236 Phone: 410-529-0348 | |
Jasmin Eusebio, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4940 Campbell Blvd, Nottingham, MD 21236 Phone: 352-732-5590 | |
Erika Sachiko Takahashi, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 8019 Corporate Dr, Unit A, Nottingham, MD 21236 Phone: 410-933-7628 | |
Leonilo Fajardo Pallasigui, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4223 Chapel Rd Apt 201, Nottingham, MD 21236 Phone: 443-301-3422 | |
Swift Rehabilitation Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 8 Quails Nest Ct, Nottingham, MD 21236 Phone: 443-469-3426 | |
Samantha Adkins, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7629 Belair Rd, Nottingham, MD 21236 Phone: 410-870-2104 |