Abigail Claire Wild, DPT | |
23415 Three Notch Rd Ste 2026, California, MD 20619-4021 | |
(240) 530-8188 | |
(240) 237-8572 |
Full Name | Abigail Claire Wild |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 23415 Three Notch Rd Ste 2026, 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 |
---|---|---|---|
1639855075 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 13171 (Minnesota) | Secondary |
225100000X | Physical Therapist | 30282 (Maryland) | Primary |
Provider Name | Fairview Express Care |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
Provider Name | Healtheast Outpatient Services Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1225382526 PECOS PAC ID: 0941447304 Enrollment ID: O20130503000040 |
Mailing Address | Practice Location Address |
---|---|
Abigail Claire Wild, DPT 2635 4th St Se Apt 1110, Minneapolis, MN 55414-3869 Ph: (434) 249-8823 | Abigail Claire Wild, DPT 23415 Three Notch Rd Ste 2026, California, MD 20619-4021 Ph: (240) 530-8188 |
Mrs. Carolyn Marie Selby, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 22593 Three Notch Rd, California, MD 20619 Phone: 301-862-2505 | |
Danielle Luray Taylor, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 23415 Three Notch Rd Ste 2026, California, MD 20619 Phone: 240-530-8188 Fax: 240-237-8572 | |
Philip Joseph Hane, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 23415 Three Notch Rd Ste 2026, California, MD 20619 Phone: 240-530-8188 Fax: 240-237-8572 | |
Martin Zenthoefer, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 22593 Three Notch Rd, California, MD 20619 Phone: 301-862-2505 | |
Jillian Jenell Certo, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 23123 Camden Way, California, MD 20619 Phone: 301-862-5177 | |
Mrs. Meghan Okoniewski Haus, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 23123 Camden Way, California, MD 20619 Phone: 301-862-5177 Fax: 301-862-4959 |