Dr Hannah Marie Vaca, DPT | |
4924 Campbell Blvd, Nottingham, MD 21236-5908 | |
(410) 955-5000 | |
Not Available |
Full Name | Dr Hannah Marie Vaca |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 4924 Campbell Blvd, Nottingham, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073239570 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2587 (South Dakota) | Secondary |
225100000X | Physical Therapist | 29933 (Maryland) | Primary |
Provider Name | Avera Mckennan |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1003389206 PECOS PAC ID: 0345157103 Enrollment ID: O20031110000117 |
Mailing Address | Practice Location Address |
---|---|
Dr Hannah Marie Vaca, DPT 6201 Greenleigh Ave, Middle River, MD 21220-2004 Ph: (605) 582-3908 | Dr Hannah Marie Vaca, DPT 4924 Campbell Blvd, Nottingham, MD 21236-5908 Ph: (410) 955-5000 |
Nathan Dixon Mcclain, Physical Therapist Medicare: Medicare Enrolled Practice Location: 4924 Campbell Blvd Ste 130a, Nottingham, MD 21236 Phone: 443-442-2800 | |
Beverly G. Flores, Physical Therapist Medicare: Medicare Enrolled Practice Location: 4155 Glen Park Rd, Nottingham, MD 21236 Phone: 410-529-0348 | |
Jasmin Eusebio, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4940 Campbell Blvd, Nottingham, MD 21236 Phone: 352-732-5590 | |
Erika Sachiko Takahashi, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 8019 Corporate Dr, Unit A, Nottingham, MD 21236 Phone: 410-933-7628 | |
Leonilo Fajardo Pallasigui, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4223 Chapel Rd Apt 201, Nottingham, MD 21236 Phone: 443-301-3422 | |
Nicole Christine Sandruck, Physical Therapist Medicare: Medicare Enrolled Practice Location: 7629 Belair Rd, Nottingham, MD 21236 Phone: 410-870-2104 |