Mr Edmond Francis Cardinal Jr, MSPT | |
11 Main St, Mystic, CT 06355-3641 | |
(860) 334-4229 | |
Not Available |
Full Name | Mr Edmond Francis Cardinal Jr |
---|---|
Gender | Male |
Speciality | Physical Therapist - Orthopedic |
Location | 11 Main St, Mystic, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013049717 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | 0077350 (Connecticut) | Primary |
2251X0800X | Physical Therapist - Orthopedic | PT01926 (Rhode Island) | Secondary |
Provider Name | Benchmark Physical Therapy Of North Carolina Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1356894604 PECOS PAC ID: 1052609278 Enrollment ID: O20161004000926 |
Mailing Address | Practice Location Address |
---|---|
Mr Edmond Francis Cardinal Jr, MSPT 11 Main St, Mystic, CT 06355-3641 Ph: (860) 334-4229 | Mr Edmond Francis Cardinal Jr, MSPT 11 Main St, Mystic, CT 06355-3641 Ph: (860) 334-4229 |
Jenalyn D Vergara, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 186 Jerry Browne Rd, Mystic, CT 06355 Phone: 860-572-5675 | |
Spectrum Physical Therapy Limited Partnership Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 80 Stonington Rd, Suite A-3, Mystic, CT 06355 Phone: 860-536-1699 Fax: 860-536-1686 | |
Ann Marie Kupis, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2440 Gold Star Hwy, Suite 201, Mystic, CT 06355 Phone: 860-536-1001 Fax: 860-536-1527 | |
Grace La Porte, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2440 Gold Star Hwy Unit 201, Mystic, CT 06355 Phone: 860-536-1001 | |
Katieanne P Christian, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2440 Gold Star Hwy, Suite 201, Mystic, CT 06355 Phone: 860-536-1001 Fax: 860-536-1005 | |
Kevin P Raksnis, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2440 Gold Star Hwy, Suite 201, Mystic, CT 06355 Phone: 860-536-1001 Fax: 860-536-1005 |