William Keough, | |
9 Lee Airpark Dr Ste 400, Edgewater, MD 21037-1229 | |
(443) 607-1469 | |
(410) 956-2618 |
Full Name | William Keough |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 9 Lee Airpark Dr Ste 400, Edgewater, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952165029 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (Maryland) | Primary |
Provider Name | Ati Holdings Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1396781050 PECOS PAC ID: 9537112719 Enrollment ID: O20061020000349 |
Provider Name | Ati Holdings Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1396781050 PECOS PAC ID: 9537112719 Enrollment ID: O20061023000321 |
Mailing Address | Practice Location Address |
---|---|
William Keough, 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | William Keough, 9 Lee Airpark Dr Ste 400, Edgewater, MD 21037-1229 Ph: (443) 607-1469 |
Kevin Wrenn, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3179 Braverton St, Suite 201, Edgewater, MD 21037 Phone: 410-956-4308 | |
Bayside Physical Therpay And Sports Rehabilitation, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3179 Braverton St, Suite 201, Edgewater, MD 21037 Phone: 410-956-4308 | |
Dr. Alyssa Beskid Fenn, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9 Lee Airpark Dr, Edgewater, MD 21037 Phone: 443-607-1469 | |
Maureen K Walter, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3179 Braverton St, Suite 201, Edgewater, MD 21037 Phone: 410-956-4308 | |
Ms. Denise Arundell Swensen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 140 Stepneys Ln, Edgewater, MD 21037 Phone: 410-956-3559 | |
Britni Barber, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9 Lee Airpark Dr Ste 400, Edgewater, MD 21037 Phone: 443-607-1469 Fax: 410-956-2618 | |
Anne Benetti, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3179 Braverton St, Suite 201, Edgewater, MD 21037 Phone: 410-956-4308 Fax: 410-956-8038 |