| Prism Pediatric Therapy Associates Pllc | |
|
7409 Ne Hazel Dell Ave, Vancouver, WA 98665-8310 | |
| (208) 287-9420 | |
| Not Available |
| Full Name | Prism Pediatric Therapy Associates Pllc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist - Pediatrics |
| Location | 7409 Ne Hazel Dell Ave, Vancouver, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336506823 | NPI | - | NPPES |
| 603502448 | Other | WA | UBI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251P0200X | Physical Therapist - Pediatrics | PT-60135582 (Washington) | Primary |
| 225XP0200X | Occupational Therapist - Pediatrics | OT-00003758 (Washington) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Prism Pediatric Therapy Associates Pllc 1940 S Bonito Way Ste 190, Meridian, ID 83642-5618 Ph: (208) 287-9420 | Prism Pediatric Therapy Associates Pllc 7409 Ne Hazel Dell Ave, Vancouver, WA 98665-8310 Ph: (208) 287-9420 |
Mr. Chi Yol Pak, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 1510 Se 97th Ave, Vancouver, WA 98664 Phone: 360-936-1557 | |
Brenda Zink, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 916 Ne 112th Ave Ste 105, Vancouver, WA 98684 Phone: 360-567-2002 | |
Bryce P Schuster, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 805 Broadway St, Vancouver, WA 98660 Phone: 360-823-0138 Fax: 360-823-0141 | |
Amanda L Swearingen, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: Balanced Physical Therapy, 900 Ne 139th St Ste 102, Vancouver, WA 98685 Phone: 360-575-3611 Fax: 360-573-3880 | |
Brian Schreck, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 Ne Park Plaza Dr, Suite 246, Vancouver, WA 98684 Phone: 360-696-1070 Fax: 360-737-0200 | |
Mr. Daniel F. L. Bisner I, Physical Therapist Medicare: Medicare Enrolled Practice Location: 900 Ne 139th St Ste 102, Vancouver, WA 98685 Phone: 360-573-3611 Fax: 360-573-3880 | |
Jacob Christopher Burggraff, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7409 Ne Hazel Dell Ave Ste 112, Vancouver, WA 98665 Phone: 360-597-4048 |