| Canton Orthopaedic & Sports Rehabilitation Inc | |
|
808 S Conkling St, Baltimore, MD 21224 | |
| (410) 522-6978 | |
| (410) 522-0290 |
| Full Name | Canton Orthopaedic & Sports Rehabilitation Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 808 S Conkling St, Baltimore, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114108545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 17174 (Maryland) | Primary |
| Provider Name | Stavros Anastasios Rologas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366422610 PECOS PAC ID: 1052592730 Enrollment ID: I20110301000459 |
| Mailing Address | Practice Location Address |
|---|---|
| Canton Orthopaedic & Sports Rehabilitation Inc 801 Umbra St, Baltimore, MD 21224 Ph: (410) 522-6978 | Canton Orthopaedic & Sports Rehabilitation Inc 808 S Conkling St, Baltimore, MD 21224 Ph: (410) 522-6978 |
Liberty Medical &injury Center Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7034 Liberty Rd, Baltimore, MD 21207 Phone: 410-580-9191 | |
Ms. Susan Kay Dubroff, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1708 W Rogers Ave, Baltimore, MD 21209 Phone: 410-578-5224 | |
Rhonda G Stallings, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 707 N Broadway, Kennedy Krieger Institute, Baltimore, MD 21205 Phone: 443-923-9200 Fax: 443-923-9405 | |
Kimberly Ann Cardosa, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2200 Kernan Dr, Baltimore, MD 21207 Phone: 410-448-6323 Fax: 410-448-6338 | |
Joanne Gamble, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5731 Cottonworth Ave, Baltimore, MD 21209 Phone: 410-708-4763 | |
Eric Wunderle, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9000 Franklin Square Dr, Baltimore, MD 21237 Phone: 443-777-7000 | |
Evangeline Lajom Grecia, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 E North Ave, Baltimore, MD 21202 Phone: 443-642-4208 |