Norhana Malawi Imam, DPT | |
1560 3rd Ave, Longview, WA 98632-3229 | |
(360) 423-9535 | |
Not Available |
Full Name | Norhana Malawi Imam |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 1560 3rd Ave, Longview, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194417063 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 012115 (Connecticut) | Primary |
261QP2000X | Clinic/center - Physical Therapy | 61450689 (Washington) | Secondary |
Provider Name | Northwest Center For Sports Medicine & Physical Therapy Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1982755070 PECOS PAC ID: 1759278542 Enrollment ID: O20150728005642 |
Mailing Address | Practice Location Address |
---|---|
Norhana Malawi Imam, DPT 391 Hillsdale Dr, Woodland, WA 98674-8122 Ph: (971) 433-9160 | Norhana Malawi Imam, DPT 1560 3rd Ave, Longview, WA 98632-3229 Ph: (360) 423-9535 |
Lynn Marie Mason Chan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 852 Commerce Ave, Longview, WA 98632 Phone: 360-501-3750 Fax: 360-501-3755 | |
Mr. Paul J Morauske, MS RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1560 3rd Ave, Longview, WA 98632 Phone: 360-423-9535 Fax: 360-414-9284 | |
Mr. Darryl T Kent, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1560 3rd Ave, Longview, WA 98632 Phone: 360-423-9535 Fax: 360-414-9285 | |
Binal Motawar, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 852 Commerce Ave, Longview, WA 98632 Phone: 360-501-3750 Fax: 360-501-3755 | |
Orrin Preheim, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 625 9th Ave Ste 220, Longview, WA 98632 Phone: 360-578-1188 | |
Lori F Falkel, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 852 Commerce Ave, Longview, WA 98632 Phone: 360-501-3750 | |
Lucas Clair Dolan, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 917 7th Ave, Longview, WA 98632 Phone: 360-425-5910 |