| Miss Marya Rahamtalla Elasha, PT, DPT | |
|
10504 Wakeman Dr, Fredericksburg, VA 22407-8040 | |
| (540) 315-8249 | |
| (540) 891-6316 |
| Full Name | Miss Marya Rahamtalla Elasha |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 10504 Wakeman Dr, Fredericksburg, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417799628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2305216543 (Virginia) | Secondary |
| 225100000X | Physical Therapist | PT-6178 (Hawaii) | Primary |
| Provider Name | Restore Pt & Wellness |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1568700763 PECOS PAC ID: 9830337963 Enrollment ID: O20130601000117 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Marya Rahamtalla Elasha, PT, DPT Po Box 412307, Boston, MA 02241-2307 Ph: (914) 294-4050 | Miss Marya Rahamtalla Elasha, PT, DPT 10504 Wakeman Dr, Fredericksburg, VA 22407-8040 Ph: (540) 315-8249 |
Dr. Derreck Dixon, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4701 Spotsylvania Pkwy Ste 106, Fredericksburg, VA 22407 Phone: 540-710-0100 | |
Ms. Susan Reiko Hoshi, PT, MSA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 549-741-1545 Fax: 540-741-1543 | |
The Weston Group Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4525 Spotsylvania County Pkwy, Fredericksburg, VA 22408 Phone: 610-438-2020 | |
Mrs. April Dawn Honaker, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 540-741-1547 | |
Mrs. Kathryn Joy Bredbenner, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1201 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 540-741-1542 | |
Patricia Joan Geberth, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5040 Plank Rd, Fredericksburg, VA 22407 Phone: 540-786-4549 | |
Rebecca Marie Bove, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10530 Spotsylvania Ave, Fredericksburg, VA 22408 Phone: 540-891-4485 |