Berkeley Vandyke Corcoran, | |
65 E Wadsworth Park Dr Ste 230, Draper, UT 84020-8096 | |
(385) 308-8034 | |
Not Available |
Full Name | Berkeley Vandyke Corcoran |
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Gender | Female |
Speciality | Physical Therapist |
Location | 65 E Wadsworth Park Dr Ste 230, Draper, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407363328 | NPI | - | NPPES |
Provider Name | Emory Physical Therapy, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1922018423 PECOS PAC ID: 1153382676 Enrollment ID: O20041019000776 |
Provider Name | Georgia Luna Care Physical Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1245826999 PECOS PAC ID: 4082027727 Enrollment ID: O20210119001811 |
Mailing Address | Practice Location Address |
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Berkeley Vandyke Corcoran, 474 Lytle Ave Se, Atlanta, GA 30316-1510 Ph: (904) 315-3896 | Berkeley Vandyke Corcoran, 65 E Wadsworth Park Dr Ste 230, Draper, UT 84020-8096 Ph: (385) 308-8034 |
Thomas J Tardif, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 65 E Wadsworth Park Dr Ste 230, Draper, UT 84020 Phone: 385-308-8034 | |
Mary Elizabeth Vandeven, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13937 S Sprague Ln Ste 100, Draper, UT 84020 Phone: 385-308-8034 | |
Mrs. Jana Whitt, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 65 E Wadsworth Park Dr Ste 320, Draper, UT 84020 Phone: 385-308-8034 | |
Dr. Joseph Guido Dubato, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 65 E Wadsworth Park Dr Ste 230, Draper, UT 84020 Phone: 385-308-8034 | |
Cristina Cerrone, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 74 E 11800 S Ste 200, Draper, UT 84020 Phone: 801-432-2070 | |
Madison Sloss, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13937 S Sprague Ln Ste 100, Draper, UT 84020 Phone: 385-308-8034 | |
Jordan Theresa Mansfield, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 65 E Wadsworth Park Dr Ste 230, Draper, UT 84020 Phone: 385-308-8034 |