Juman Park, DPT | |
4800 College St Se, Lacey, WA 98503-4389 | |
(360) 486-2900 | |
Not Available |
Full Name | Juman Park |
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Gender | Male |
Speciality | Physical Therapist |
Location | 4800 College St Se, Lacey, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073252284 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 61283328 (Washington) | Primary |
Provider Name | Providence Health & Services Washington |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1174744304 PECOS PAC ID: 6709782600 Enrollment ID: O20031211000028 |
Mailing Address | Practice Location Address |
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Juman Park, DPT 4800 College St Se, Lacey, WA 98503-4389 Ph: (360) 486-2900 | Juman Park, DPT 4800 College St Se, Lacey, WA 98503-4389 Ph: (360) 486-2900 |
Dorothy Kilvington, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 130 Marvin Rd Se Ste 203, Lacey, WA 98503 Phone: 360-456-3300 | |
Abigail Namocatcat, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4200 6th Ave Se, Suite 201, Lacey, WA 98503 Phone: 360-459-8311 | |
Nicole Dominique Jalandoni Vasquez, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1445 Galaxy Dr Ne Ste 301, Lacey, WA 98516 Phone: 360-456-1444 | |
Samantha Rossi Perdue, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7940 29th Ave Ne Ste 101, Lacey, WA 98516 Phone: 360-870-2473 | |
Kathleen G Jech, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4770 Yelm Hwy Se, Lacey, WA 98503 Phone: 360-491-6074 Fax: 360-491-6192 | |
Michaela Jane De Groot, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4800 College St Se, Lacey, WA 98503 Phone: 360-486-2900 |