Mr Jurgen Regala Cudiamat, PT | |
720 Clifton Colony Dr, Apt 5, Cincinnati, OH 45220-2379 | |
(213) 448-9404 | |
Not Available |
Full Name | Mr Jurgen Regala Cudiamat |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 720 Clifton Colony Dr, Cincinnati, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881914752 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT. 012732 (Ohio) | Primary |
225100000X | Physical Therapist | 1195670 (Texas) | Secondary |
225100000X | Physical Therapist | 23098 (Maryland) | Secondary |
Provider Name | Department Of State Hospitals |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1124078704 PECOS PAC ID: 9638174238 Enrollment ID: O20081031000305 |
Mailing Address | Practice Location Address |
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Mr Jurgen Regala Cudiamat, PT 720 Clifton Colony Dr, Apt 5, Cincinnati, OH 45220-2379 Ph: () - | Mr Jurgen Regala Cudiamat, PT 720 Clifton Colony Dr, Apt 5, Cincinnati, OH 45220-2379 Ph: (213) 448-9404 |
Abigail Grover Snook, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4750 Wesley Ave, Cincinnati, OH 45212 Phone: 513-458-8857 | |
Kristen Leigh Arveson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3950 Red Bank Rd, Cincinnati, OH 45227 Phone: 513-246-8840 Fax: 513-246-8841 | |
Casey Turner, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3200 Vine St, Rehabilitation Care Line, Cincinnati, OH 45220 Phone: 513-861-3100 | |
Dr. Logan Stewart Waddell, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8135 Beechmont Ave, West 269, Cincinnati, OH 45255 Phone: 513-368-5212 | |
Christopher M Wall, PT, DPT, OCS, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3430 Burnet Ave # 4007, Cincinnati, OH 45229 Phone: 513-803-9355 | |
Heather Michele Bulmer, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6210 Cleves Warsaw Pike, Cincinnati, OH 45233 Phone: 513-941-0099 | |
Kerry Caddell, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6210 Cleves Warsaw Pike, Cincinnati, OH 45233 Phone: 513-941-0099 |