| Amanda Maryam Agbannawag, DPT | |
|
3988 E Fort Lowell Rd, Tucson, AZ 85712-1010 | |
| (520) 488-5291 | |
| Not Available |
| Full Name | Amanda Maryam Agbannawag |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 3988 E Fort Lowell Rd, Tucson, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255805727 | NPI | - | NPPES |
| 568098 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | LPT-30412 (Arizona) | Primary |
| Provider Name | Sunbelt Medical Group Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1104354752 PECOS PAC ID: 4082983465 Enrollment ID: O20170627003322 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Maryam Agbannawag, DPT 3988 E Fort Lowell Rd, Tucson, AZ 85712-1010 Ph: (520) 488-5291 | Amanda Maryam Agbannawag, DPT 3988 E Fort Lowell Rd, Tucson, AZ 85712-1010 Ph: (520) 488-5291 |
Shari A Myoraku, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 333 N Wilmot Rd Ste 340, Tucson, AZ 85711 Phone: 520-731-0566 Fax: 520-731-0564 | |
Mr. Michael L Anderes, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 350 N Wilmot Rd, Outpatient Rehabilitation, Tucson, AZ 85711 Phone: 520-873-3664 | |
Matthew Joseph Phillips, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1020 S Harrison Rd Ste 120, Tucson, AZ 85748 Phone: 520-207-6288 | |
Agility Spine & Sports Physical Therapy And Rehabilitation Lp Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8987 E Tanque Verde Rd, Suite 301, Tucson, AZ 85749 Phone: 520-884-9819 Fax: 520-884-0175 | |
Arizona Mobile Outpatient Rehab Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7672 E Logan Pl, Tucson, AZ 85730 Phone: 520-275-3327 | |
John Robert Klune, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1027 S Suncove Dr, Tucson, AZ 85748 Phone: 520-850-4850 | |
Mark Evan Winkelman, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3124 N Swan Rd, Tucson, AZ 85712 Phone: 520-325-4002 Fax: 520-325-4227 |