| Jo Anne Famularcano, PT | |
|
339 E Maple St, North Canton, OH 44720-2593 | |
| (330) 498-8200 | |
| Not Available |
| Full Name | Jo Anne Famularcano |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 339 E Maple St, North Canton, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356706279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT.012716 (Ohio) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1174153266 PECOS PAC ID: 2163339722 Enrollment ID: O20200304001327 |
| Mailing Address | Practice Location Address |
|---|---|
| Jo Anne Famularcano, PT 339 E Maple St, North Canton, OH 44720-2593 Ph: () - | Jo Anne Famularcano, PT 339 E Maple St, North Canton, OH 44720-2593 Ph: (330) 498-8200 |
Thomas Funke, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7233 Whipple Ave Nw, North Canton, OH 44720 Phone: 330-498-8200 | |
Carolyn Pewanick, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 339 E Maple St, North Canton, OH 44720 Phone: 330-498-8239 | |
Darlene Zakrajsek, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 339 E Maple St, North Canton, OH 44720 Phone: 330-498-8239 | |
Kimberly K Wallace, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 339 E Maple St, North Canton, OH 44720 Phone: 330-498-8200 | |
Samantha L May, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 339 E Maple St, North Canton, OH 44720 Phone: 330-498-8200 | |
Derek M Kopanic, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7171 Keck Park Cir Nw, North Canton, OH 44720 Phone: 330-498-5222 | |
Patricia C Eisel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 339 E Maple St, North Canton, OH 44720 Phone: 330-498-8200 |