Candy M Runnoe, PT | |
8 Eagle Lake Dr, Flagler Beach, FL 32136-4382 | |
(715) 226-1545 | |
Not Available |
Full Name | Candy M Runnoe |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 8 Eagle Lake Dr, Flagler Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326240540 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 10305 (Wisconsin) | Secondary |
225100000X | Physical Therapist | 29632 (Florida) | Primary |
Provider Name | Right At Home Therapy Services Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1649917154 PECOS PAC ID: 2567841901 Enrollment ID: O20220615002034 |
Mailing Address | Practice Location Address |
---|---|
Candy M Runnoe, PT 8 Eagle Lake Dr, Flagler Beach, FL 32136-4382 Ph: (715) 226-1545 | Candy M Runnoe, PT 8 Eagle Lake Dr, Flagler Beach, FL 32136-4382 Ph: (715) 226-1545 |
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