| Marissa Vardavas, PT | |
|
8561 Market St, Boardman, OH 44512-6727 | |
| (330) 953-2383 | |
| (330) 953-2384 |
| Full Name | Marissa Vardavas |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 8561 Market St, Boardman, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144048604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Ohio) | Primary |
| Provider Name | Kids Choice LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1568798544 PECOS PAC ID: 3779717137 Enrollment ID: O20131018000230 |
| Mailing Address | Practice Location Address |
|---|---|
| Marissa Vardavas, PT 8561 Market St, Boardman, OH 44512-6727 Ph: (330) 953-2383 | Marissa Vardavas, PT 8561 Market St, Boardman, OH 44512-6727 Ph: (330) 953-2383 |
Logan Bryant Ison, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6505 Market St, Boardman, OH 44512 Phone: 330-746-8100 |
Amanda Nichole Snyder, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 813 Boardman Poland Rd, Suite 12b, Boardman, OH 44512 Phone: 330-729-9448 Fax: 330-729-9450 |
Tu Dor Physical Therapy Centers Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7645 Market St, Suite 110, Boardman, OH 44512 Phone: 330-965-9330 Fax: 330-965-9311 |
Maggie Marie Zac Schumacher, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 813 Boardman Poland Rd, Boardman, OH 44512 Phone: 330-729-9448 |
Sheri Owen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7620 Southern Blvd, Ste 3, Boardman, OH 44512 Phone: 330-965-9330 Fax: 330-965-9308 |
Amanda Leanne Fortunato, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 813 Boardman Poland Rd Ste 12b, Boardman, OH 44512 Phone: 330-729-9448 |
Madison R Rothenbuhler, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1265 Boardman Canfield Rd, Boardman, OH 44512 Phone: 330-758-9400 Fax: 330-726-8676 |