Mr Michael Nikko Acosta Valdez, | |
10022 Se 172nd Ave, Happy Valley, OR 97086-9630 | |
(561) 251-8632 | |
Not Available |
Full Name | Mr Michael Nikko Acosta Valdez |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 10022 Se 172nd Ave, Happy Valley, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932592045 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Link Home Therapy Services Of Ny-pt Ot Slp Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1942782966 PECOS PAC ID: 2466704713 Enrollment ID: O20181015001509 |
Mailing Address | Practice Location Address |
---|---|
Mr Michael Nikko Acosta Valdez, 10022 Se 172nd Ave, Happy Valley, OR 97086-9630 Ph: (561) 251-8632 | Mr Michael Nikko Acosta Valdez, 10022 Se 172nd Ave, Happy Valley, OR 97086-9630 Ph: (561) 251-8632 |
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