Victoria C Closson, PT, DPT, LMT | |
256 Cape Saint John Rd, Annapolis, MD 21401-7230 | |
(303) 478-6224 | |
Not Available |
Full Name | Victoria C Closson |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 256 Cape Saint John Rd, Annapolis, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679142798 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2305214320 (Virginia) | Secondary |
225100000X | Physical Therapist | 28952 (Maryland) | Primary |
Provider Name | Thrive Proactive Health |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1710345293 PECOS PAC ID: 6800179490 Enrollment ID: O20170206000499 |
Mailing Address | Practice Location Address |
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Victoria C Closson, PT, DPT, LMT 256 Cape Saint John Rd, Annapolis, MD 21401-7230 Ph: (303) 478-6224 | Victoria C Closson, PT, DPT, LMT 256 Cape Saint John Rd, Annapolis, MD 21401-7230 Ph: (303) 478-6224 |
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