| Lisa Prisco, PT | |
|
810 New Burton Rd, Ste 2, Dover, DE 19904-5488 | |
| (302) 724-5593 | |
| (302) 724-5595 |
| Full Name | Lisa Prisco |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 810 New Burton Rd, Dover, Delaware |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871970053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | J1-0000317 (Delaware) | Primary |
| Provider Name | Mike Walsh Physical Therapy, LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1508193608 PECOS PAC ID: 5395870422 Enrollment ID: O20100315000849 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Prisco, PT 33 Chadwick Dr, Dover, DE 19901-5828 Ph: (302) 698-4256 | Lisa Prisco, PT 810 New Burton Rd, Ste 2, Dover, DE 19904-5488 Ph: (302) 724-5593 |
Adrianne Greene, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1288 S Governors Ave, Dover, DE 19904 Phone: 302-677-0100 Fax: 302-677-0267 |
Ms. Amy Kathryn Tullis, PT, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 97 Commerce Way, Suite 101, Dover, DE 19904 Phone: 302-734-8000 |
Jihwan Jeong, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1288 S Governors Ave, Dover, DE 19904 Phone: 302-677-0100 |
William Boylan Iv, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1288 S Governors Ave, Dover, DE 19904 Phone: 302-677-0100 Fax: 302-677-0267 |
Kathy Tompkins, Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 945 Forest St, Dover, DE 19904 Phone: 302-672-1500 |
Christine Marie Reynolds, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1203 Walker Rd, Dover, DE 19904 Phone: 302-735-8800 |
Katherine Marie Monahan, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1288 S Governors Ave, Dover, DE 19904 Phone: 302-677-0100 |