| Kelly Petersen, DPT | |
|
100 Wheatfield Dr Ste 1, Milford, PA 18337-7699 | |
| (570) 296-5911 | |
| Not Available |
| Full Name | Kelly Petersen |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 100 Wheatfield Dr Ste 1, Milford, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538847801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT031598 (Pennsylvania) | Primary |
| Provider Name | Drayer Physical Therapy Institute Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1538122700 PECOS PAC ID: 8224948666 Enrollment ID: O20040126000110 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Petersen, DPT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (423) 405-6356 | Kelly Petersen, DPT 100 Wheatfield Dr Ste 1, Milford, PA 18337-7699 Ph: (570) 296-5911 |
Timothy Moran, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 518 Route 6 And 209, Milford, PA 18337 Phone: 570-296-3333 Fax: 570-296-3343 | |
Drayer Physical Therapy Institute Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Wheatfield Dr, Suite 1, Milford, PA 18337 Phone: 570-296-5911 Fax: 570-296-5931 | |
Dr. Amanda Ramos Fedorka, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 112 E Harford St, Milford, PA 18337 Phone: 570-296-5156 | |
Mrs. Rita Pecoriello, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 145 Highview Rd, Milford, PA 18337 Phone: 570-296-4628 | |
Access Physical Therapy & Wellness Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 518 Route 6 And 209, Milford, PA 18337 Phone: 570-296-3333 | |
Dr. Benjamin Muller, P.T., D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 518 Routes 6 And 209, Milford, PA 18337 Phone: 570-296-3333 | |
James Frederick Leighty Jr., PT DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 104 Bennett Ave Ste 2a-2, Milford, PA 18337 Phone: 845-649-4291 |