| Jean Marie Traitz, | |
|
5803 W Northern Ave Ste 110, Glendale, AZ 85301-1362 | |
| (623) 295-3699 | |
| Not Available |
| Full Name | Jean Marie Traitz |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 5803 W Northern Ave Ste 110, Glendale, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851178818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT40792 (Florida) | Secondary |
| 225100000X | Physical Therapist | LPT-033576 (Arizona) | Primary |
| Provider Name | South Aiken Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558653196 PECOS PAC ID: 3678745320 Enrollment ID: O20110930000622 |
| Mailing Address | Practice Location Address |
|---|---|
| Jean Marie Traitz, 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (866) 370-8206 | Jean Marie Traitz, 5803 W Northern Ave Ste 110, Glendale, AZ 85301-1362 Ph: (623) 295-3699 |
Mr. Landis Randall Mains, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9980 W Glendale Ave Ste 110, Glendale, AZ 85307 Phone: 623-242-6908 | |
Cole William Smith, Physical Therapist Medicare: Medicare Enrolled Practice Location: 16950 N 51st Ave Ste 3, Glendale, AZ 85306 Phone: 623-233-2485 | |
Christine Busa, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5601 W Eugie Ave, Suite 202, Glendale, AZ 85304 Phone: 602-843-8436 Fax: 602-843-8947 | |
Donahue Physical Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4925 W Bell Rd, Glendale, AZ 85308 Phone: 602-318-5556 Fax: 602-789-6755 | |
Arizona Multisports Physical Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7055 W Bell Rd, Suite 1, Glendale, AZ 85308 Phone: 623-266-7866 Fax: 623-266-7855 | |
Daniel Glen Cox, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9980 W Glendale Ave Ste 110, Glendale, AZ 85307 Phone: 623-242-6908 | |
Richard Palmer, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11851 N 51st Ave Ste D110, Glendale, AZ 85304 Phone: 623-934-1154 |