Jaison Sebastian, DOCTORATE | |
3605 Edgmont Ave, Brookhaven, PA 19015-2862 | |
(610) 876-6180 | |
(610) 876-6130 |
Full Name | Jaison Sebastian |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 3605 Edgmont Ave, Brookhaven, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184102337 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT026884 (Pennsylvania) | Primary |
Provider Name | Mind & Body Fitness, Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1487785978 PECOS PAC ID: 0840275715 Enrollment ID: O20050317000582 |
Provider Name | Discover Optimal Healthcare |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1538412887 PECOS PAC ID: 9739334343 Enrollment ID: O20130306000108 |
Mailing Address | Practice Location Address |
---|---|
Jaison Sebastian, DOCTORATE 644 Grand Ave, Havertown, PA 19083-3224 Ph: (484) 321-1395 | Jaison Sebastian, DOCTORATE 3605 Edgmont Ave, Brookhaven, PA 19015-2862 Ph: (610) 876-6180 |
Natasha Bica, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3605 Edgmont Ave, Brookhaven, PA 19015 Phone: 610-876-6180 | |
Walkermovementgroup Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 4116 Chandler Dr, Brookhaven, PA 19015 Phone: 610-368-7780 | |
Marijke Vanleeuwen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3605 Edgmont Ave, Brookhaven, PA 19015 Phone: 610-876-6180 |