Monica Isabel Polanco, | |
1655 Crofton Blvd Ste 103, Crofton, MD 21114-1342 | |
(410) 451-5700 | |
(410) 451-5703 |
Full Name | Monica Isabel Polanco |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 1655 Crofton Blvd Ste 103, Crofton, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760280820 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 10455 (Maryland) | Primary |
Provider Name | Legacy Healthcare Services Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1215698287 PECOS PAC ID: 2163339722 Enrollment ID: O20220222002100 |
Mailing Address | Practice Location Address |
---|---|
Monica Isabel Polanco, 5908 66th Ave, Riverdale, MD 20737-1716 Ph: (301) 943-7758 | Monica Isabel Polanco, 1655 Crofton Blvd Ste 103, Crofton, MD 21114-1342 Ph: (410) 451-5700 |
Mary Elizabeth Seay, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1655 Crofton Boulevard, Suite 103, Crofton, MD 21114 Phone: 410-451-5700 Fax: 410-451-5703 | |
Virginia Middleton, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1665 Crofton Ctr, Crofton, MD 21114 Phone: 410-774-9269 | |
Anna Kuegler, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1665 Crofton Ctr, Crofton, MD 21114 Phone: 410-774-9269 | |
District Therapy Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2111 Baldwin Ave Ste 204, Crofton, MD 21114 Phone: 443-292-2353 | |
Kylie Grzybowski, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1665 Crofton Ctr, Crofton, MD 21114 Phone: 410-749-2697 | |
Patricia Dozor, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2300 Dartmouth Ln, Crofton, MD 21114 Phone: 443-223-4365 Fax: 443-292-8138 | |
Casey Nathan, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1655 Crofton Blvd Ste 103, Crofton, MD 21114 Phone: 410-451-5700 |