Brian John Bedalov, MSPT | |
1054 Milwaukee Ave Ste 200, Burlington, WI 53105-1382 | |
(800) 974-4378 | |
(630) 515-1536 |
Full Name | Brian John Bedalov |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1054 Milwaukee Ave Ste 200, Burlington, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235173782 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 6538 (Wisconsin) | Primary |
Provider Name | Dpt Holdings Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1689648602 PECOS PAC ID: 4688679293 Enrollment ID: O20100708000581 |
Mailing Address | Practice Location Address |
---|---|
Brian John Bedalov, MSPT 24014 W Renwick Rd Unit 206, Plainfield, IL 60544-8711 Ph: (800) 974-4378 | Brian John Bedalov, MSPT 1054 Milwaukee Ave Ste 200, Burlington, WI 53105-1382 Ph: (800) 974-4378 |
Cynthia L Wuttke, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Mc Canna Pkwy, Burlington, WI 53105 Phone: 262-767-7120 | |
Mrs. Barbara Ann Gabrysiak, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 677 E State St, Burlington, WI 53105 Phone: 262-763-9531 | |
Athletico Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 980 Milwaukee Ave, Suite 500, Burlington, WI 53105 Phone: 630-575-1980 | |
Heidi L Mackey, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 252 Mchenry St, Burlington, WI 53105 Phone: 262-763-2411 | |
Ray Baur, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 709 Spring Valley Rd, Burlington, WI 53105 Phone: 262-971-9300 | |
Darren Robert Chesner, Physical Therapist Medicare: Medicare Enrolled Practice Location: 709 Spring Valley Rd, Burlington, WI 53105 Phone: 262-971-9300 Fax: 262-767-6023 |