Tyra Holliday, DPT | |
3320 Crain Hwy, Waldorf, MD 20603-4850 | |
(301) 870-7366 | |
Not Available |
Full Name | Tyra Holliday |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 3320 Crain Hwy, Waldorf, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821860834 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | CP025717T (Maryland) | Primary |
225100000X | Physical Therapist | PT015946 (Georgia) | Secondary |
Provider Name | Proflex Physical Therapy Of Maryland Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1558714824 PECOS PAC ID: 7416244322 Enrollment ID: O20160921002614 |
Mailing Address | Practice Location Address |
---|---|
Tyra Holliday, DPT 655 S Willow St Ste 128, Manchester, NH 03103-5723 Ph: () - | Tyra Holliday, DPT 3320 Crain Hwy, Waldorf, MD 20603-4850 Ph: (301) 870-7366 |
Kirsten Borsos, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3 Post Office Rd Ste 105, Waldorf, MD 20602 Phone: 301-818-0603 | |
Jadyn Abrams, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3018 Festival Way # 323, Waldorf, MD 20601 Phone: 240-754-5520 Fax: 301-705-6797 | |
Mr. David Grossman, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10 Saint Patricks Dr, Suite 401, Waldorf, MD 20603 Phone: 301-870-6717 Fax: 301-870-7366 | |
Alexander David Sharr, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11340 Pembrooke Sq Ste 211, Waldorf, MD 20603 Phone: 301-645-0013 Fax: 301-645-1183 | |
Ms. Filisha Mae Lustfield, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3 Post Office Rd Ste 105, Waldorf, MD 20602 Phone: 301-893-2345 Fax: 301-638-1783 | |
Anupkumar Yadav, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3165 Crain Hwy Ste 100, Waldorf, MD 20603 Phone: 301-885-2500 Fax: 301-885-2501 | |
Elias Petros Showler, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11325 Pembrooke Sq Fl 2, Waldorf, MD 20603 Phone: 301-719-1146 |