| Civista Medical Center, Inc. | |
|
5 N La Plata Ct Ste 102, La Plata, MD 20646-5207 | |
| (301) 609-4292 | |
| Not Available |
| Full Name | Civista Medical Center, Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 5 N La Plata Ct Ste 102, La Plata, Maryland |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689071219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (Maryland) | Secondary |
| 235Z00000X | Speech-language Pathologist | (Maryland) | Secondary |
| 225100000X | Physical Therapist | (Maryland) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Civista Medical Center, Inc. 5 N La Plata Ct Ste 102, La Plata, MD 20646-5207 Ph: (301) 609-4292 | Civista Medical Center, Inc. 5 N La Plata Ct Ste 102, La Plata, MD 20646-5207 Ph: (301) 609-4292 |
Andrea Scott, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10200 Laplata Rd, La Plata, MD 20646 Phone: 301-934-1900 | |
Virginia Lee Cusick, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5980 Radio Station Rd, La Plata, MD 20646 Phone: 301-932-6610 | |
Miss Lourdes Bernadette Verdera Potestades, PT, DPT, OCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5 N La Plata Ct Ste 102, La Plata, MD 20646 Phone: 301-609-5494 Fax: 301-392-6109 | |
Susan Peterson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 134 Drury Dr, La Plata, MD 20646 Phone: 301-539-3807 Fax: 301-539-3814 | |
Ortho Physical Therapy Solutions, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 303 Charles St Ste 102, La Plata, MD 20646 Phone: 240-237-0150 | |
Patricia Diane Samsel, PA-S Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9760 Elm Ln, La Plata, MD 20646 Phone: 301-751-6656 | |
Mrs. Joanne Roberts, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5980 Radio Station Rd, La Plata, MD 20646 Phone: 301-932-6610 |