Juan Miguel Fernandez Mendoza, PT | |
800 Medcalf St, Montesano, WA 98563 | |
(360) 249-2273 | |
Not Available |
Full Name | Juan Miguel Fernandez Mendoza |
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Gender | Male |
Speciality | Physical Therapist |
Location | 800 Medcalf St, Montesano, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821632308 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT60998517 (Washington) | Primary |
Provider Name | Creative Health Care Management Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1902350457 PECOS PAC ID: 4385929892 Enrollment ID: O20170324001139 |
Mailing Address | Practice Location Address |
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Juan Miguel Fernandez Mendoza, PT 10 S 9th St, Ste 4, Noblesville, IN 46060-2631 Ph: (765) 524-3946 | Juan Miguel Fernandez Mendoza, PT 800 Medcalf St, Montesano, WA 98563 Ph: (360) 249-2273 |
Schuyler Rose, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 N Medcalf Street, Montesano, WA 98563 Phone: 360-249-2273 | |
Duncan L Durr, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 508 E Pioneer Ave, Montesano, WA 98563 Phone: 360-249-4185 Fax: 360-249-4195 | |
Joe W Arndt, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 508 E Pioneer Ave, Montesano, WA 98563 Phone: 360-249-4185 Fax: 360-249-4195 | |
Ana Lourdes P Lazarraga, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 N Medcalf Ln, Montesano, WA 98563 Phone: 360-249-2273 | |
Brittany Ann Jackson, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 Medcalf St, Montesano, WA 98563 Phone: 360-249-2273 |