Rebecca L Koval, PT | |
21st Mdg, 559 Vincent St, Pafb, CO 80914-1540 | |
(719) 556-5898 | |
Not Available |
Full Name | Rebecca L Koval |
---|---|
Gender | Female |
Speciality | Physical Therapist - Orthopedic |
Location | 21st Mdg, Pafb, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770936239 | NPI | - | NPPES |
99-0353213 | Other | HI | UHA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT-4211 (Hawaii) | Secondary |
2251X0800X | Physical Therapist - Orthopedic | 2305213420 (Virginia) | Primary |
Provider Name | Jaco Van Delden Physical Rehabilitation Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1063746196 PECOS PAC ID: 6204965809 Enrollment ID: O20100528000055 |
Provider Name | Jaco Rehab Mililani Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1508314089 PECOS PAC ID: 7012296718 Enrollment ID: O20161121002412 |
Provider Name | Jaco Rehab Honolulu Limited Partnership |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1265073878 PECOS PAC ID: 8527495092 Enrollment ID: O20200221001176 |
Provider Name | Jaco Rehab Waikele Limited Partnership |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1629619234 PECOS PAC ID: 2769819804 Enrollment ID: O20200302000493 |
Provider Name | Jaco Rehab Mililani Limited Partnership |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1700427325 PECOS PAC ID: 5991132847 Enrollment ID: O20200305001547 |
Provider Name | Jaco Rehab Kapolei Limited Partnership |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1437790052 PECOS PAC ID: 6305275355 Enrollment ID: O20200326002830 |
Mailing Address | Practice Location Address |
---|---|
Rebecca L Koval, PT 21st Mdg, 559 Vincent St, Pafb, CO 80914-1541 Ph: (719) 556-5989 | Rebecca L Koval, PT 21st Mdg, 559 Vincent St, Pafb, CO 80914-1540 Ph: (719) 556-5898 |