Wilma Armea Coros, PT | |
700 Toll House Ave, Frederick, MD 21701-4575 | |
(301) 815-8878 | |
Not Available |
Full Name | Wilma Armea Coros |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 700 Toll House Ave, Frederick, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790901064 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 21458 (Maryland) | Primary |
225100000X | Physical Therapist | 008156 (Georgia) | Secondary |
Provider Name | Fox Rehab Pt Md Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1588901847 PECOS PAC ID: 6709028822 Enrollment ID: O20130820000083 |
Mailing Address | Practice Location Address |
---|---|
Wilma Armea Coros, PT 126 Mcclellan Dr, Frederick, MD 21702-5502 Ph: (301) 663-7826 | Wilma Armea Coros, PT 700 Toll House Ave, Frederick, MD 21701-4575 Ph: (301) 815-8878 |
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