Ode Egharevba, PT, DPT | |
2747 Crescent St Ste 203, Astoria, NY 11102-3142 | |
(347) 869-9798 | |
Not Available |
Full Name | Ode Egharevba |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 5 Years |
Location | 2747 Crescent St Ste 203, Astoria, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578159422 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 046800 (New York) | Primary |
Provider Name | Rb Physical And Occupational Therapy, Pllc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1790013282 PECOS PAC ID: 5294870226 Enrollment ID: O20100302000766 |
Provider Name | Fruition Physical Therapy Pllc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1386218733 PECOS PAC ID: 2163811522 Enrollment ID: O20211105001927 |
Mailing Address | Practice Location Address |
---|---|
Ode Egharevba, PT, DPT 100 Broadway Unit 594, Lynbrook, NY 11563-5013 Ph: (347) 869-9798 | Ode Egharevba, PT, DPT 2747 Crescent St Ste 203, Astoria, NY 11102-3142 Ph: (347) 869-9798 |
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