Deborah Ilealoha Dover, PT | |
500 Quintana Rd, Morro Bay, CA 93442-1938 | |
(805) 772-7358 | |
(805) 772-0409 |
Full Name | Deborah Ilealoha Dover |
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Gender | Female |
Speciality | Physical Therapist |
Location | 500 Quintana Rd, Morro Bay, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750629713 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT12086 (California) | Primary |
Provider Name | Fwtw Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1285872812 PECOS PAC ID: 2264582576 Enrollment ID: O20090609000010 |
Mailing Address | Practice Location Address |
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Deborah Ilealoha Dover, PT 500 Quintana Rd, Morro Bay, CA 93442-1938 Ph: (805) 772-7358 | Deborah Ilealoha Dover, PT 500 Quintana Rd, Morro Bay, CA 93442-1938 Ph: (805) 772-7358 |
Marissa Marie Cotroneo, Physical Therapist Medicare: Medicare Enrolled Practice Location: 890 Shasta Ave, Morro Bay, CA 93442 Phone: 805-772-4325 Fax: 805-772-2886 | |
Stephen Kerr, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Quintana Rd, Morro Bay, CA 93442 Phone: 805-772-7358 | |
Lois Boulgarides, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Quintana Rd, Morro Bay, CA 93442 Phone: 805-772-7358 | |
Michael James Williams, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 890 Shasta Ave, Morro Bay, CA 93442 Phone: 805-772-4325 Fax: 805-772-2886 | |
Halie Gordon, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 500 Quintana Rd, Morro Bay, CA 93442 Phone: 805-772-7358 | |
Eric Balash, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 890 Shasta Ave, Morro Bay, CA 93442 Phone: 805-772-4325 Fax: 805-772-2886 | |
Dr. Alec Shahen Andoyan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Quintana Rd, Morro Bay, CA 93442 Phone: 805-772-7358 |