| Andrew Hawk, | |
|
100 Presidential Blvd, Bala Cynwyd, PA 19004-1108 | |
| (610) 668-0904 | |
| Not Available |
| Full Name | Andrew Hawk |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 100 Presidential Blvd, Bala Cynwyd, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083438485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT032826 (Pennsylvania) | Primary |
| Provider Name | Bay State Physical Therapy Of Randolph Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1164474334 PECOS PAC ID: 6305744251 Enrollment ID: O20191112001187 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Hawk, 218 S 4th St, Coplay, PA 18037-1006 Ph: (484) 934-6340 | Andrew Hawk, 100 Presidential Blvd, Bala Cynwyd, PA 19004-1108 Ph: (610) 668-0904 |
Mr. John George Sacco, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 59 Rockland Ave, Bala Cynwyd, PA 19004 Phone: 610-664-3268 | |
Victoria Fryzel Dunn, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2 Bala Plz Ste Il47, Bala Cynwyd, PA 19004 Phone: 877-969-7342 | |
Mr. Justin Carl Lavo, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 100 Presidental Boulevard, Bala Cynwyd, PA 19004 Phone: 610-668-0904 Fax: 610-668-0668 | |
Kevin Deley, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Presidential Blvd, Bala Cynwyd, PA 19004 Phone: 610-668-0904 | |
Nadia Schimony, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Presidential Blvd, Bala Cynwyd, PA 19004 Phone: 610-668-0904 | |
Dr. Kayla Conforti Uylingco, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 Monument Rd Ste 110, Bala Cynwyd, PA 19004 Phone: 484-268-1350 Fax: 484-268-1351 |