Mrs Daphne Stevenson, PT | |
3125 Willowcreek Road, Portage, IN 46368-4423 | |
(219) 762-3175 | |
(219) 763-3092 |
Full Name | Mrs Daphne Stevenson |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 3125 Willowcreek Road, Portage, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427330216 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Community Care Network Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1457610487 PECOS PAC ID: 3678737012 Enrollment ID: O20120614000331 |
Mailing Address | Practice Location Address |
---|---|
Mrs Daphne Stevenson, PT 3125 Willowcreek Road, Portage, IN 46368-4423 Ph: (219) 762-3175 | Mrs Daphne Stevenson, PT 3125 Willowcreek Road, Portage, IN 46368-4423 Ph: (219) 762-3175 |
Ritchel Amper, LPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6040 Lute Rd, Portage, IN 46368 Phone: 219-763-6858 Fax: 219-763-4858 | |
Cristina M Soyao, LPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6040 Lute Rd, Portage, IN 46368 Phone: 219-763-6858 Fax: 219-763-4858 | |
Chester K Pablo, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6040 Lute Rd, Portage, IN 46368 Phone: 219-763-6858 Fax: 219-763-4858 | |
Ati Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6459 Us Highway 6, Portage, IN 46368 Phone: 219-762-5592 Fax: 219-762-5664 | |
Miss Tarah Doreen Soon, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3467 Peninsula Dr Apt 11, Portage, IN 46368 Phone: 219-880-6223 | |
Amy Brix, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3391 Airport Rd, Portage, IN 46368 Phone: 219-762-0821 | |
Michael Wendahl, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3691 Willowcreek Road, Suite 100, Portage, IN 46368 Phone: 219-759-4380 |