Brandi Robertson, | |
4560 Se International Way Ste 100, Milwaukie, OR 97222-4628 | |
(217) 774-2111 | |
Not Available |
Full Name | Brandi Robertson |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 4560 Se International Way Ste 100, Milwaukie, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770194789 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070.012473 (Illinois) | Primary |
Provider Name | Springfield Clinic Llp |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780638478 PECOS PAC ID: 0547166076 Enrollment ID: O20040331000826 |
Mailing Address | Practice Location Address |
---|---|
Brandi Robertson, 703 S Putnam St, Moweaqua, IL 62550-8600 Ph: (217) 273-4539 | Brandi Robertson, 4560 Se International Way Ste 100, Milwaukie, OR 97222-4628 Ph: (217) 774-2111 |
Joan Luna Vicente, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4560 Se International Way, Consonus Healthcare Services Suite 100, Milwaukie, OR 97222 Phone: 971-206-5149 Fax: 971-206-5209 | |
Ms. Jamilyn D Jeffrey, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4560 Se International Way Suite 100, Consonus Healthcare Services, Milwaukie, OR 97222 Phone: 971-206-5149 Fax: 971-206-5209 | |
North Lake Physical Therapy And Rehabilitation, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4606 Se Boardman Ave, Milwaukie, OR 97267 Phone: 503-353-9776 Fax: 503-353-9777 | |
Michelle Longa, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4560 Se International Way, Ste 100, Milwaukie, OR 97222 Phone: 971-206-5237 | |
Molly Larson Peichel, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 12045 Se Stanley Ave, Milwaukie, OR 97222 Phone: 503-659-2323 | |
Mr. Ron D Drago, OT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4560 Se International Way, Suite 100 Consonus Healthcare Services, Milwaukie, OR 97222 Phone: 971-206-5129 Fax: 971-206-5209 | |
Scott Coats, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4560 Se International Way, Consonus Rehab Services, Milwaukie, OR 97222 Phone: 971-206-5140 Fax: 971-206-5209 |