| Hannah Dietrich, | |
|
22593 Three Notch Rd, California, MD 20619-3202 | |
| (301) 862-2505 | |
| (866) 607-2594 |
| Full Name | Hannah Dietrich |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 22593 Three Notch Rd, California, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427894260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 10291 (Maryland) | Primary |
| Provider Name | Personalized Therapy, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1699711135 PECOS PAC ID: 3072526235 Enrollment ID: O20060711000379 |
| Mailing Address | Practice Location Address |
|---|---|
| Hannah Dietrich, 22593 Three Notch Rd, California, MD 20619-3202 Ph: (301) 862-2505 | Hannah Dietrich, 22593 Three Notch Rd, California, MD 20619-3202 Ph: (301) 862-2505 |
Rhonda Deneah Cox, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 23415 Three Notch Rd Ste 2026, California, MD 20619 Phone: 240-530-8188 Fax: 240-237-8572 | |
Mrs. Holli Jean Withrow, MOTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 22593 Three Notch Rd, Rt. 235, California, MD 20619 Phone: 301-862-2505 Fax: 301-862-2548 | |
N Spadavecchia, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 45297 Mill Cove Harbor Rd, California, MD 20619 Phone: 301-904-5720 | |
Erin Louise Mccarthy, MS, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 22593 Three Notch Rd, California, MD 20619 Phone: 301-862-2505 Fax: 301-862-2548 | |
Kayla Rae-ruiz Gast, MOT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 23415 Three Notch Rd Ste 2026, California, MD 20619 Phone: 240-530-8188 Fax: 240-237-8572 | |
Nicole R Crozier, M.S., OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 22593 Three Notch Rd, California, MD 20619 Phone: 301-862-2505 Fax: 301-862-2548 |