| Mr Ernesto Lopez Grecia Jr, PT | |
|
Executive Center Ii, 3290 North Ridge Road, Suite 290, Ellicott, MD 21043 | |
| (410) 292-4008 | |
| Not Available |
| Full Name | Mr Ernesto Lopez Grecia Jr |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | Executive Center Ii, 3290 North Ridge Road, Ellicott, Maryland |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255597472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 22583 (Maryland) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Ernesto Lopez Grecia Jr, PT Executive Center Ii, 3290 North Ridge Road, Suite 290, Ellicott, MD 21043 Ph: (410) 292-4008 | Mr Ernesto Lopez Grecia Jr, PT Executive Center Ii, 3290 North Ridge Road, Suite 290, Ellicott, MD 21043 Ph: (410) 292-4008 |
Lourizza Mae Catague Sampalocia, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3290 Executive Center Ii, North Ridge Road Suite 290, Ellicott, MD 21043 Phone: 410-750-9006 | |
Eric Joseph Supnet Sevidal, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3290 Executive Center Ii, Cambridge Healthcare North Ridge, Ellicott, MD 21043 Phone: 410-750-9006 |