| Dr Ebony Jackson Clark, PT, DPT | |
|
4494 Palmer Rd N, Bethesda, MD 20814 | |
| (301) 400-2666 | |
| Not Available |
| Full Name | Dr Ebony Jackson Clark |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 4494 Palmer Rd N, Bethesda, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417502766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT027785 (Pennsylvania) | Secondary |
| 225100000X | Physical Therapist | LPT-31648 (Arizona) | Primary |
| Provider Name | Dhhs Phs Naihs Chinle Comprehensive Health Care Facility |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1508800129 PECOS PAC ID: 9436062585 Enrollment ID: O20031106000210 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ebony Jackson Clark, PT, DPT 4494 Palmer Rd N, Bethesda, MD 20814 Ph: (301) 400-2666 | Dr Ebony Jackson Clark, PT, DPT 4494 Palmer Rd N, Bethesda, MD 20814 Ph: (301) 400-2666 |
Morgane Caroline Gay, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6410 Rockledge Dr Ste 301, Bethesda, MD 20817 Phone: 301-897-0357 Fax: 301-897-2148 | |
Kyle Thomas Mcgill, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 7500 Old Georgetown Rd Ste 301, Bethesda, MD 20814 Phone: 301-657-9876 | |
Ms. Carla Patrice Alexis, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8901 Wisconsin Ave, Bethesda, MD 20889 Phone: 301-295-4880 | |
Laura Leigh Cooper, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9707 Old Georgetown Rd, Bethesda, MD 20814 Phone: 301-530-0500 | |
Mrs. Mary Sadaya-guillermo, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10215 Fernwood Rd, #506, Bethesda, MD 20817 Phone: 301-530-1010 | |
Katherine Michael, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6400 Goldsboro Rd Ste 340, Bethesda, MD 20817 Phone: 301-493-8884 | |
Elizabeth Margaret Farmer, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5272 River Rd Ste 350, Bethesda, MD 20816 Phone: 240-686-5609 |