Carl Yale Malmquist, | |
392 Garrisonville Rd Ste 211, Stafford, VA 22554-1500 | |
(540) 602-4277 | |
Not Available |
Full Name | Carl Yale Malmquist |
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Gender | Male |
Speciality | Physical Therapist |
Location | 392 Garrisonville Rd Ste 211, Stafford, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093582645 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Tidewater Physical Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1457389595 PECOS PAC ID: 6406759281 Enrollment ID: O20041019001029 |
Mailing Address | Practice Location Address |
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Carl Yale Malmquist, 991 Forsythia Ln, Stafford, VA 22554-7360 Ph: (928) 581-9810 | Carl Yale Malmquist, 392 Garrisonville Rd Ste 211, Stafford, VA 22554-1500 Ph: (540) 602-4277 |
Alberto Lee Jr., Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 572 Garrisonville Rd, Stafford, VA 22554 Phone: 540-659-6408 Fax: 540-659-6445 | |
Mr. Alan D Billups, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 90 Greenspring Dr, Stafford, VA 22554 Phone: 540-657-7473 Fax: 540-657-7134 | |
Alissa Joy Agnew, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2765 Jefferson Davis Hwy, Suite 203, Stafford, VA 22554 Phone: 540-720-2261 Fax: 540-720-5660 | |
Allison Marie Elegbe, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2765 Jefferson Davis Hwy Ste 203, Stafford, VA 22554 Phone: 540-720-2261 | |
Jordan Mckenzie Back, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2765 Jefferson Davis Hwy Ste 203, Stafford, VA 22554 Phone: 540-446-5323 | |
Joshua Cole Waybright, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2777 Jefferson Davis Hwy, Suite 109, Stafford, VA 22554 Phone: 540-318-8615 Fax: 540-318-8619 | |
Performance Physical Therapy Of Stafford, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2777 Jefferson Davis Hwy, 109, Stafford, VA 22554 Phone: 540-318-8615 Fax: 540-318-8619 |