Mr Chi Yol Pak, PT | |
1510 Se 97th Ave, Vancouver, WA 98664-3656 | |
(360) 936-1557 | |
Not Available |
Full Name | Mr Chi Yol Pak |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1510 Se 97th Ave, Vancouver, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003040593 | NPI | - | NPPES |
4112819 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT00010706 (Washington) | Primary |
Provider Name | Rehab Specialties Ps |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1275946378 PECOS PAC ID: 3971877556 Enrollment ID: O20170920002069 |
Mailing Address | Practice Location Address |
---|---|
Mr Chi Yol Pak, PT 1510 Se 97th Ave, Vancouver, WA 98664-3656 Ph: (360) 936-1557 | Mr Chi Yol Pak, PT 1510 Se 97th Ave, Vancouver, WA 98664-3656 Ph: (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 |