Cathy Stores, | |
Kwajalein Hospital ,ocean Road, Apo, AP 96555 | |
(805) 355-2353 | |
Not Available |
Full Name | Cathy Stores |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | Kwajalein Hospital ,ocean Road, Apo, Armed Forces Pacific |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245365857 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2389 (Oregon) | Primary |
225100000X | Physical Therapist | PT00005711 (Washington) | Primary |
225100000X | Physical Therapist | 1630 (Hawaii) | Primary |
Provider Name | Northwest Primary Care Group Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1144319658 PECOS PAC ID: 0244125052 Enrollment ID: O20040219000947 |
Mailing Address | Practice Location Address |
---|---|
Cathy Stores, Po Box 623, Apo, AP 96555 Ph: (805) 355-2353 | Cathy Stores, Kwajalein Hospital ,ocean Road, Apo, AP 96555 Ph: (805) 355-2353 |
Kimberly Mccoy-singh, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 374 Mdg, Unit 5071, Apo, AP 96328 Phone: 315-225-7508 | |
John M Tonarelli, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Psc 2, Apo, AP 96264 Phone: 315-782-7705 | |
Doris Nieves, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: Bdaach/549th Hc Usag Humphreys Bldg. #3030, Unit #15245, Apo, AP 96271 Phone: 011-822-7917 | |
Dr. Lisa Ferguson Bolin, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 374 Medical Air Group, Unit 5071, Apo, AP 96328 Phone: 315-225-7508 Fax: 315-225-8975 | |
Nicholas Victor Oberholtzer, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Brian D. Allgood Army Community Hospital (bdaach), Unit #15245; Bldg 3031, Apo, AP 96271 Phone: 717-318-0829 | |
Heidi Edwards, PT, DPT, SCS, COMT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 51st Medical Group, Unit 2060, Apo, AP 96278 Phone: 315-784-4512 | |
Mychelle Phan, PT, DPT, OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 51st Medical Group, Unit 2060, Apo, AP 96278 Phone: 315-784-2157 |