| Ms Rutuja Pathare, | |
|
1800 Cameron Glen Dr, Reston, VA 20190-3308 | |
| (703) 542-2876 | |
| Not Available |
| Full Name | Ms Rutuja Pathare |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1800 Cameron Glen Dr, Reston, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851600209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 2202004807 (Virginia) | Primary |
| Provider Name | Powerback Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1871241414 PECOS PAC ID: 2365359932 Enrollment ID: O20220622001654 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Rutuja Pathare, 1800 Cameron Glen Dr, Reston, VA 20190-3308 Ph: (703) 542-2876 | Ms Rutuja Pathare, 1800 Cameron Glen Dr, Reston, VA 20190-3308 Ph: (703) 542-2876 |
Samantha Vogel, M.A. CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12052 N Shore Dr, Reston, VA 20190 Phone: 703-834-9800 | |
Karin Maria Ernst, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11710 Bowman Green Dr, Reston, VA 20190 Phone: 571-277-2650 | |
Mrs. Amanda Jane Sutton, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1818 Library St, Suite 500, Reston, VA 20190 Phone: 703-915-0804 | |
Mrs. Kelly H. Veenstra, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12052 N Shore Dr, Reston, VA 20190 Phone: 703-707-0706 | |
Ms. Hannah Atkinson, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1768 Business Center Dr Ste 330, Reston, VA 20190 Phone: 703-679-7837 | |
Dr. Priya Kucheria, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1888 Michael Faraday Dr, Reston, VA 20190 Phone: 608-354-6355 | |
Aubrey Mohamed, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10824 Cross School Rd, Reston, VA 20191 Phone: 703-715-3842 |