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50 Sherwood Forest Lane, Sonoita, AZ 85637 | |
(520) 455-5439 | |
(520) 455-5439 |
Full Name | |
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Type | Facility |
Speciality | Physical Therapist |
Location | 50 Sherwood Forest Lane, Sonoita, Arizona |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1609105931 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | 2699 (Arizona) | Primary |
Provider Name | Bridgett A Gaines |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1730369976 PECOS PAC ID: 5991730814 Enrollment ID: I20050929000461 |
Provider Name | Erika M Slover |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1467504738 PECOS PAC ID: 8325064926 Enrollment ID: I20051024000033 |
Mailing Address | Practice Location Address |
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Po Box 776, Sonoita, AZ 85637-0776 Ph: (520) 455-5439 | 50 Sherwood Forest Lane, Sonoita, AZ 85637 Ph: (520) 455-5439 |
Mrs. Bridgett M Gaines, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 50 Sherwood Forest Lane, Sonoita, AZ 85637 Phone: 520-237-8091 |