Dr Melissa Kuizon Gonzaga-lee, PT, DPT, CSRS | |
2360 Cranberry Hwy Fl 2, West Wareham, MA 02576-1208 | |
(774) 678-4041 | |
Not Available |
Full Name | Dr Melissa Kuizon Gonzaga-lee |
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Gender | Female |
Speciality | Physical Therapist |
Location | 2360 Cranberry Hwy Fl 2, West Wareham, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851683858 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 19680 (Massachusetts) | Secondary |
225100000X | Physical Therapist | PT020507 (Pennsylvania) | Primary |
Provider Name | Balance Physical Therapy Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1275822868 PECOS PAC ID: 0648449165 Enrollment ID: O20110817000543 |
Mailing Address | Practice Location Address |
---|---|
Dr Melissa Kuizon Gonzaga-lee, PT, DPT, CSRS 34 Nakata Ave, Fairhaven, MA 02719-2002 Ph: (505) 917-9131 | Dr Melissa Kuizon Gonzaga-lee, PT, DPT, CSRS 2360 Cranberry Hwy Fl 2, West Wareham, MA 02576-1208 Ph: (774) 678-4041 |
Balance Physical Therapy Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 2360 Cranberry Hwy, West Wareham, MA 02576 Phone: 508-763-4025 | |
Alexandra Durocher, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2360 Cranberry Hwy, West Wareham, MA 02576 Phone: 774-678-4041 |