Paula M Defrees, PHYSICAL THERAPIST | |
70-078 Country Club Dr., Suite 205, Bermuda Dunes, CA 92203 | |
(760) 345-9934 | |
(760) 345-3086 |
Full Name | Paula M Defrees |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 70-078 Country Club Dr., Bermuda Dunes, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891828141 | NPI | - | NPPES |
140049 | Other | IL | MEDICARE GROUP NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 070-005572 (Illinois) | Secondary |
225100000X | Physical Therapist | PT38729 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Paula M Defrees, PHYSICAL THERAPIST 1107 N Marion St, Oak Park, IL 60302-1252 Ph: (708) 763-5540 | Paula M Defrees, PHYSICAL THERAPIST 70-078 Country Club Dr., Suite 205, Bermuda Dunes, CA 92203 Ph: (760) 345-9934 |