| Ms Lilie Marie Candido, PT | |
|
21 Luther Ln, Hannibal, MO 63401-1914 | |
| (573) 301-4748 | |
| Not Available |
| Full Name | Ms Lilie Marie Candido |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 21 Luther Ln, Hannibal, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083752083 | NPI | - | NPPES |
| 489987859 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | R0945 (Missouri) | Primary |
| Provider Name | Fox Rehab Pt Ia Pllc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1730840240 PECOS PAC ID: 5193119733 Enrollment ID: O20220225000320 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Lilie Marie Candido, PT Po Box 1262, Hannibal, MO 63401-1262 Ph: (573) 301-4748 | Ms Lilie Marie Candido, PT 21 Luther Ln, Hannibal, MO 63401-1914 Ph: (573) 301-4748 |
Mrs. Jessica Lynn Mcclintock, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3652 Stardust Dr, Hannibal, MO 63401 Phone: 573-221-8800 Fax: 573-221-1808 | |
Brittany Albers, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 188a Medical Dr, Hannibal, MO 63401 Phone: 573-406-0576 Fax: 573-406-1371 | |
Levi Jett, Physical Therapist Medicare: Medicare Enrolled Practice Location: 188a Medical Dr, Hannibal, MO 63401 Phone: 573-406-0576 | |
Mrs. Jailynn Nicole Francisco, D.P.T Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 188a Medical Dr, Hannibal, MO 63401 Phone: 573-406-0576 Fax: 573-406-1371 | |
Advance Hannibal Regional Hospital, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 188 Medical Drive, Hannibal, MO 63401 Phone: 573-400-6057 | |
Thomas Rodeghero, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3522 Palmyra Rd, Suite A, Hannibal, MO 63401 Phone: 573-248-8076 Fax: 573-248-8082 |