| Cameron Polich, | |
|
3048 E Baseline Rd Ste 125, Mesa, AZ 85204-7288 | |
| (602) 313-4664 | |
| (480) 222-1457 |
| Full Name | Cameron Polich |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 3048 E Baseline Rd Ste 125, Mesa, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164283602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Arizona) | Primary |
| Provider Name | Ati Holdings Of Arizona Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1871570309 PECOS PAC ID: 2466732862 Enrollment ID: O20161130001683 |
| Mailing Address | Practice Location Address |
|---|---|
| Cameron Polich, 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Cameron Polich, 3048 E Baseline Rd Ste 125, Mesa, AZ 85204-7288 Ph: (602) 313-4664 |
Justin Dunaway, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6632 E Baseline Rd, Suite 102, Mesa, AZ 85206 Phone: 480-222-0655 Fax: 480-222-1457 | |
Deborah A Mordhorst, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2919 S Ellsworth Rd, Suite 111, Mesa, AZ 85212 Phone: 480-358-6767 Fax: 480-358-6885 | |
Anda Michelle Vaughn, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5358 E Baseline Road, Mesa, AZ 85206 Phone: 480-699-9224 | |
Joshua N Lacanlale, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 3035 S Ellsworth Rd, Bldg 4, #128, Mesa, AZ 85212 Phone: 480-357-6500 Fax: 480-357-6515 | |
Christopher Samuel Anderson, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1500 S Dobson Rd Ste 314, Mesa, AZ 85202 Phone: 480-833-7879 | |
Savannah Torrez, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2524 E Golden St, Mesa, AZ 85213 Phone: 575-499-4249 | |
Bloom Physical Therapy, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 3035 S Ellsworth Rd Ste 128, Mesa, AZ 85212 Phone: 480-357-6500 |