| Melissa J Wallace, DPT, PT | |
|
12 Mount Carmel Rd, Parkton, MD 21120-9721 | |
| (443) 672-6119 | |
| (443) 672-6119 |
| Full Name | Melissa J Wallace |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 12 Mount Carmel Rd, Parkton, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588550305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 30371 (Maryland) | Primary |
| Provider Name | Fox Rehab PT MD LLC |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1588901847 PECOS PAC ID: 6709028822 Enrollment ID: O20130820000083 |
| Provider Name | Agape Physical Therapy & Sports Rehabilitation LP |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1578900668 PECOS PAC ID: 3870741390 Enrollment ID: O20131002000226 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa J Wallace, DPT, PT 7 Carnegie Plz, Cherry Hill, NJ 08003-1000 Ph: (877) 407-3422 | Melissa J Wallace, DPT, PT 12 Mount Carmel Rd, Parkton, MD 21120-9721 Ph: (443) 672-6119 |
Mrs. Deborah Nassau, PT, MBA Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12 Mount Carmel Rd, Parkton, MD 21120 Phone: 410-357-0070 Fax: 410-357-0071 |
Ms. Heidi Chesla, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19119 Middletown Rd, Parkton, MD 21120 Phone: 443-844-7723 |
Mindful Motion Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1209 Brandy Springs Rd, Parkton, MD 21120 Phone: 410-375-9493 |
Ms. Linda Coratti, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14 Mount Carmel Rd, Parkton, MD 21120 Phone: 410-229-0055 |
Agape Physical Therapy & Sports Rehabilitation Lp Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12 Mount Carmel Rd, Parkton, MD 21120 Phone: 443-672-6119 Fax: 443-672-6113 |
Hereford Physical Therapy & Sports Medicine, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14 Mount Carmel Rd, Parkton, MD 21120 Phone: 410-229-0055 |
Ms. Karen Sue Kinsey, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 14 Mount Carmel Rd, Parkton, MD 21120 Phone: 410-229-0055 |