| Integrate Diagnostics | |
|
515 Fairmount Ave Ste 100, Towson, MD 21286-8520 | |
| (443) 218-3379 | |
| (443) 218-6738 |
| Full Name | Integrate Diagnostics |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist - Electrophysiology, Clinical |
| Location | 515 Fairmount Ave Ste 100, Towson, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225825086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251E1300X | Physical Therapist - Electrophysiology, Clinical | (* (Not Available)) | Primary |
| Provider Name | Oluwaseun Ajifowobaje |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619492865 PECOS PAC ID: 7517226392 Enrollment ID: I20210201000067 |
| Mailing Address | Practice Location Address |
|---|---|
| Integrate Diagnostics 217 Felton Rd, Lutherville, MD 21093-6419 Ph: (443) 218-3379 | Integrate Diagnostics 515 Fairmount Ave Ste 100, Towson, MD 21286-8520 Ph: (443) 218-3379 |
Zackary Paul Boyles, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7801 York Rd Ste 140, Towson, MD 21204 Phone: 410-337-4024 |
Joshua Kyle Welch, PT,DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7402 York Rd, Suite 104, Towson, MD 21204 Phone: 410-260-3931 Fax: 410-560-0877 |
Thomas Janicky, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 913 Southerly Rd, Unit 178, Towson, MD 21204 Phone: 732-600-5239 |
Mr. Jeffrey Asbury, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 7401 Osler Dr, Towson, MD 21204 Phone: 410-296-8888 |
Elisabeth Bryant, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7401 Osler Dr, Suite 110, Towson, MD 21204 Phone: 410-296-8888 |
Mr. Roger Hall, P.T. Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 7401 Osler Dr, Suite 110, Towson, MD 21204 Phone: 410-296-8888 |
Elizabeth A Harnois, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7501 Osler Dr Ste 301, Towson, MD 21204 Phone: 410-337-1349 |