Katherine Sage, | |
7405 W Arizona Pl, Lakewood, CO 80232-5416 | |
(701) 400-5059 | |
Not Available |
Full Name | Katherine Sage |
---|---|
Gender | Female |
Speciality | Physical Therapist - Geriatrics |
Location | 7405 W Arizona Pl, Lakewood, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477960565 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PTL.0012714 (Colorado) | Secondary |
2251G0304X | Physical Therapist - Geriatrics | PTL.0012714 (Colorado) | Primary |
Provider Name | Roaming Rehab Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1104421304 PECOS PAC ID: 4082015235 Enrollment ID: O20210625001941 |
Mailing Address | Practice Location Address |
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Katherine Sage, 7405 W Arizona Pl, Lakewood, CO 80232-5416 Ph: (701) 400-5059 | Katherine Sage, 7405 W Arizona Pl, Lakewood, CO 80232-5416 Ph: (701) 400-5059 |
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