Maureen Cecilia Donnelly Ii, PHYSICAL THERAPIST | |
Corner Of Route N12 And N7, Fort Defiance, AZ 86504-0649 | |
(929) 729-8810 | |
Not Available |
Full Name | Maureen Cecilia Donnelly Ii |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | Corner Of Route N12 And N7, Fort Defiance, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609965052 | NPI | - | NPPES |
1780630491 | Other | NM | GROUP NPI # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 3049 (New Mexico) | Primary |
Provider Name | Wellness Works Physical Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1518331198 PECOS PAC ID: 7416254446 Enrollment ID: O20160318000694 |
Mailing Address | Practice Location Address |
---|---|
Maureen Cecilia Donnelly Ii, PHYSICAL THERAPIST Po Box 649, Fort Defiance, AZ 86504-0649 Ph: (505) 929-8810 | Maureen Cecilia Donnelly Ii, PHYSICAL THERAPIST Corner Of Route N12 And N7, Fort Defiance, AZ 86504-0649 Ph: (929) 729-8810 |
Sarah Maria Berkenstock, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: N7, Corner Of Routes N12, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Robbie Whitehair, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance Indian Hospital Board, Inc., Fort Defiance, AZ 86504 Phone: 928-729-8810 | |
Dr. Jonathan Thomas Keown, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Miss Deidrea Rose Salabye, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 Fax: 928-729-8814 | |
Ms. Alana Marie Bencivengo, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Corner Of Route 12 And 7, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Mrs. Kathryn Elizabeth Jacques, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8132 | |
Dr. Craig Amidon Fox, DPT, NCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8810 |