Angela Defazio, DPT | |
463 Tremont St W, Suite 100, Port Orchard, WA 98366-3743 | |
(360) 874-0745 | |
Not Available |
Full Name | Angela Defazio |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 463 Tremont St W, Port Orchard, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891100566 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 60161880 (Washington) | Primary |
Provider Name | Multicare Health System |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
Mailing Address | Practice Location Address |
---|---|
Angela Defazio, DPT 463 Tremont St W, Suite 100, Port Orchard, WA 98366-3743 Ph: (360) 874-0745 | Angela Defazio, DPT 463 Tremont St W, Suite 100, Port Orchard, WA 98366-3743 Ph: (360) 874-0745 |
Kate Murphy, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1880 Pottery Ave Ste 100, Port Orchard, WA 98366 Phone: 360-895-9090 | |
David Allan Hull, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4459 Se Mile Hill Dr, Port Orchard, WA 98366 Phone: 253-227-2253 | |
Kayla Marie Ellison, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1880 Pottery Ave Ste 100, Port Orchard, WA 98366 Phone: 360-895-9090 | |
Christopher Jonathan Neal, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 451 Sw Sedgwick Rd Ste 310, Port Orchard, WA 98367 Phone: 951-696-9353 Fax: 951-973-7216 | |
Forest Bingham, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1880 Pottery Ave Ste 100, Port Orchard, WA 98366 Phone: 360-859-9090 | |
Mrs. Rhonda E. Law, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1880 Pottery Ave, Suite 100, Port Orchard, WA 98366 Phone: 360-895-9090 Fax: 360-895-9089 | |
Marijke Augusta Edwards, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 463 Tremont St W Ste 100, Port Orchard, WA 98366 Phone: 360-874-0745 Fax: 360-874-0846 |