Justin Degenhardt, DPT | |
720 12th St Se, Auburn, WA 98002-6708 | |
(253) 735-3606 | |
(253) 351-9807 |
Full Name | Justin Degenhardt |
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Gender | Male |
Speciality | Physical Therapist |
Location | 720 12th St Se, Auburn, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1376192039 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 24380 (Massachusetts) | Primary |
Provider Name | Boston Sports Medicine Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1245217546 PECOS PAC ID: 9032163985 Enrollment ID: O20050303000748 |
Mailing Address | Practice Location Address |
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Justin Degenhardt, DPT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Justin Degenhardt, DPT 720 12th St Se, Auburn, WA 98002-6708 Ph: (253) 735-3606 |
Dr. Yuanmin Zhang, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2 E Main St Unit 320, Auburn, WA 98002 Phone: 858-888-6673 | |
Olympic Sports & Spine Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 202 Cross St Se, Auburn, WA 98002 Phone: 253-876-8190 Fax: 253-876-8186 | |
Richard C. Wahlgren, M-PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 122 3rd St Ne, Auburn, WA 98002 Phone: 253-833-7750 Fax: 253-887-9804 | |
Faye Dela Cruz, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2803 55th St Se, Auburn, WA 98092 Phone: 425-919-3386 | |
Chelsea Ryen Witt, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 407 E Main St, Auburn, WA 98002 Phone: 253-545-0044 | |
Zachary Benning, Physical Therapist Medicare: Medicare Enrolled Practice Location: 407 E Main St, Auburn, WA 98002 Phone: 253-545-0044 | |
Rey Hermann Baltazar, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 202 N Division St Ste 110, Auburn, WA 98001 Phone: 253-545-0044 Fax: 253-545-0043 |