Mrs Victoria Margaret Vestal, LPTBD | |
316 1st Ave North, Ilwaco, WA 98624 | |
(360) 642-8551 | |
(360) 642-3408 |
Full Name | Mrs Victoria Margaret Vestal |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 45 Years |
Location | 316 1st Ave North, Ilwaco, Washington |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922198662 | NPI | - | NPPES |
130238 | Medicaid | OR | |
8334625 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 0865 (Oregon) | Secondary |
225100000X | Physical Therapist | PT00003498 (Washington) | Primary |
Provider Name | Pacific Crest Physical Therapy Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1255413787 PECOS PAC ID: 3173414091 Enrollment ID: O20040322000849 |
Mailing Address | Practice Location Address |
---|---|
Mrs Victoria Margaret Vestal, LPTBD Po Box 749, Ilwaco, WA 98624 Ph: (503) 791-1805 | Mrs Victoria Margaret Vestal, LPTBD 316 1st Ave North, Ilwaco, WA 98624 Ph: (360) 642-8551 |
Dr. Daniel Raymond Shamir, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 174 1st Ave N, Ilwaco, WA 98624 Phone: 360-642-3181 | |
Colin Irvin Holganza Ortiz, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 316 1st Ave N, Ilwaco, WA 98624 Phone: 360-642-6328 | |
Ocean Beach Physical Therapy Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 316 1st Ave. North, Ilwaco, WA 98624 Phone: 360-642-8551 Fax: 360-642-3408 | |
Vaughan Gendelman, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 174 1st Ave N, Ilwaco, WA 98624 Phone: 360-642-6328 | |
Dr. Claire Elizabeth Salanski, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 174 1st Ave N, Ilwaco, WA 98624 Phone: 360-642-3181 | |
Mr. Jarrod Paul Karnofski, DPT ATC CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 316 1st Ave North, Ocean Beach Physical Therapy, Ilwaco, WA 98624 Phone: 360-642-8551 Fax: 360-642-3408 |