| Amanda Logan Marcic, | |
|
110 Canal St Ste 3, Lowell, MA 01852-4589 | |
| (888) 855-2674 | |
| Not Available |
| Full Name | Amanda Logan Marcic |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 5 Years |
| Location | 110 Canal St Ste 3, Lowell, Massachusetts |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386256543 | NPI | - | NPPES |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Imago Rehab, Inc | 1850785056 | 8 |
| Imago Rehab, Inc | 1850785056 | 8 |
| Imago Rehab, Inc | 1850785056 | 8 |
| Imago Rehab, Inc | 1850785056 | 8 |
| Provider Name | Imago Rehab, Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1205407236 PECOS PAC ID: 1850785056 Enrollment ID: O20240830002248 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Logan Marcic, 103 Fox Den Ct, Cary, NC 27513-9100 Ph: (614) 519-2024 | Amanda Logan Marcic, 110 Canal St Ste 3, Lowell, MA 01852-4589 Ph: (888) 855-2674 |
Christine Ellen Carignan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 126 Phoenix Ave, Thom Anne Sullivan Center, Lowell, MA 01852 Phone: 978-453-8331 | |
Erin Chenette, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 35 Ymca Dr, Lowell, MA 01852 Phone: 781-679-2003 Fax: 978-746-8718 | |
John Dao-tran, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 176 Walker St, Lowell, MA 01854 Phone: 978-452-9252 Fax: 978-970-0271 | |
Mr. Gregory Evans Crossman Jr., PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1703 Middlesex St, Lowell, MA 01851 Phone: 978-710-7204 Fax: 978-710-5764 | |
Ryan Mahoney, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 176 Walker St, Lowell, MA 01854 Phone: 978-452-9252 | |
Samantha Sarkisian, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 35 Ymca Dr, Lowell, MA 01852 Phone: 781-679-2003 Fax: 978-746-8718 | |
Brendan Surette, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 176 Walker St, Lowell, MA 01854 Phone: 978-452-9252 |