Mr Konrad John Weatherhogg, LLB, BSC, SRP, MCSP | |
3719 Union Rd, Gastonia, NC 28056-8044 | |
(704) 868-8998 | |
Not Available |
Full Name | Mr Konrad John Weatherhogg |
---|---|
Gender | Male |
Speciality | Physical Therapist - Orthopedic |
Location | 3719 Union Rd, Gastonia, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487737292 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | 10511 (North Carolina) | Primary |
Provider Name | Poudre Valley Medical Group Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1366763260 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
Mailing Address | Practice Location Address |
---|---|
Mr Konrad John Weatherhogg, LLB, BSC, SRP, MCSP 1168 Molokai Dr, Tega Cay, SC 29708-8580 Ph: (803) 431-6858 | Mr Konrad John Weatherhogg, LLB, BSC, SRP, MCSP 3719 Union Rd, Gastonia, NC 28056-8044 Ph: (704) 868-8998 |
Mr. Arnold De Guzman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2675 Court Dr, Gastonia, NC 28054 Phone: 704-824-7800 | |
Alicia Mcquain, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 620 Summit Crossing Pl, Ste 305, Gastonia, NC 28054 Phone: 704-865-0077 Fax: 704-852-3499 | |
Catherine Joy Caballes, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4041 Eastford Ct, Gastonia, NC 28056 Phone: 704-964-7675 | |
Ms. Lesley M Pacitto, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 870 Summit Crossing Pl, Gastonia, NC 28054 Phone: 704-323-2000 | |
Jesse C. Smith Jr., Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2675 Court Dr, Gastonia, NC 28054 Phone: 704-824-7800 | |
Mrs. Angela Era Park-sheldon, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2675 Court Dr, Gastonia, NC 28054 Phone: 704-824-7800 Fax: 704-824-2822 | |
Angelica Caroy, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1770 Oak Hollow Rd, Gastonia, NC 28054 Phone: 704-853-8175 |