Rachael Omole, | |
12200 Annapolis Rd Ste 119, Glenn Dale, MD 20769-9182 | |
(301) 805-5006 | |
Not Available |
Full Name | Rachael Omole |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 12200 Annapolis Rd Ste 119, Glenn Dale, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104330208 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 26751 (Maryland) | Primary |
Provider Name | Sports Pro Physical Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1285611608 PECOS PAC ID: 4688748106 Enrollment ID: O20080801000088 |
Mailing Address | Practice Location Address |
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Rachael Omole, 12200 Annapolis Rd Ste 119, Glenn Dale, MD 20769-9182 Ph: () - | Rachael Omole, 12200 Annapolis Rd Ste 119, Glenn Dale, MD 20769-9182 Ph: (301) 805-5006 |
Robert Ninan, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 12150 Annapolis Rd Ste 305, Glenn Dale, MD 20769 Phone: 301-853-0093 Fax: 301-853-0096 | |
Cecilia Esther Campos, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12150 Annapolis Rd Ste 201, Glenn Dale, MD 20769 Phone: 301-352-8370 | |
Evidence Physical Therapy, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12150 Annapolis Rd Ste 201, Glenn Dale, MD 20769 Phone: 301-352-8370 Fax: 301-352-8372 | |
Joann Teh, Physical Therapist Medicare: Medicare Enrolled Practice Location: 12150 Annapolis Rd Ste 201, Glenn Dale, MD 20769 Phone: 301-352-8371 Fax: 877-828-2060 | |
Jalpa Kotadia, Physical Therapist Medicare: Medicare Enrolled Practice Location: 12150 Annapolis Rd Ste 201, Glenn Dale, MD 20769 Phone: 301-352-8371 | |
Sangeeta Maharjan, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12150 Annapolis Rd Ste 201, Glenn Dale, MD 20769 Phone: 301-352-8370 |