Michele Daniel, PT | |
14050 N 83rd Ave Ste 290, Peoria, AZ 85381-5650 | |
(866) 839-6979 | |
(916) 913-5646 |
Full Name | Michele Daniel |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 14050 N 83rd Ave Ste 290, Peoria, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609615152 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | LPT-30918 (Arizona) | Primary |
Provider Name | Arizona Luna Care Physical Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1629698147 PECOS PAC ID: 8325469661 Enrollment ID: O20200522000830 |
Mailing Address | Practice Location Address |
---|---|
Michele Daniel, PT 14050 N 83rd Ave Ste 290, Peoria, AZ 85381-5650 Ph: (866) 839-6979 | Michele Daniel, PT 14050 N 83rd Ave Ste 290, Peoria, AZ 85381-5650 Ph: (866) 839-6979 |
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