| Amanda Rose Watroba, PT | |
|
2645 N 17th St, Coos Bay, OR 97420-2134 | |
| (541) 266-3658 | |
| Not Available |
| Full Name | Amanda Rose Watroba |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 2645 N 17th St, Coos Bay, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417402934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 61799 (Oregon) | Primary |
| 225100000X | Physical Therapist | 21959 (Massachusetts) | Secondary |
| Provider Name | Sand Coast Rehab Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1639766603 PECOS PAC ID: 7315352911 Enrollment ID: O20210211003128 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Rose Watroba, PT 2645 N 17th St, Coos Bay, OR 97420-2134 Ph: (541) 266-3658 | Amanda Rose Watroba, PT 2645 N 17th St, Coos Bay, OR 97420-2134 Ph: (541) 266-3658 |
John Charles Delarosa, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2645 N 17th St, Coos Bay, OR 97420 Phone: 541-266-3658 | |
Horace J Ferrante Jr., PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2645 N 17th St, Coos Bay, OR 97420 Phone: 541-266-3658 Fax: 541-267-5395 | |
Michael Wilkins Jr., DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2645 N 17th St, Coos Bay, OR 97420 Phone: 541-266-3658 Fax: 541-267-5395 | |
Lawrence R Cheal, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 Fax: 541-266-4526 | |
Mrs. Mirian W Groenendaal, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1957 Thompson Rd., Coos Bay, OR 97420 Phone: 541-266-7050 Fax: 541-266-0180 | |
Dr. Carmen Christine Ramirez, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 Fax: 541-266-4526 | |
Mr. Thomas S Zomerschoe, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1957 Thompson Rd, Coos Bay, OR 97420 Phone: 541-266-7050 Fax: 541-266-0180 |