Dr Brandon Dale, PT, DPT | |
116 Applewood Dr, Ona, WV 25545-9581 | |
(276) 970-6076 | |
Not Available |
Full Name | Dr Brandon Dale |
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Gender | Male |
Speciality | Physical Therapist |
Location | 116 Applewood Dr, Ona, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003306697 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT003963 (West Virginia) | Primary |
Provider Name | Powerback Rehabilitation Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1336858398 PECOS PAC ID: 2365359932 Enrollment ID: O20230426003181 |
Mailing Address | Practice Location Address |
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Dr Brandon Dale, PT, DPT 2523 Yates Crossing Rd, Milton, WV 25541-8509 Ph: (276) 970-6076 | Dr Brandon Dale, PT, DPT 116 Applewood Dr, Ona, WV 25545-9581 Ph: (276) 970-6076 |
Powerback Rehabilitation Physical Therapist Medicare: Medicare Enrolled Practice Location: 116 Applewood Dr, Ona, WV 25545 Phone: 681-281-6102 | |
Mary Waddell, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3198 Us Route 60 Ste A, Ona, WV 25545 Phone: 304-733-9430 | |
Dr. Richard Campbell, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3198 Us-60, Suite A, Ona, WV 25545 Phone: 304-733-9430 | |
Dr. Bethany Ann Horton, DPT, ATC, CLT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Weatherholt Dr, Ona, WV 25545 Phone: 304-390-5705 |