| Roots Pediatric Therapy | |
|
5976 Kingsford Ave, Park City, UT 84098-6315 | |
| (907) 744-3978 | |
| Not Available |
| Full Name | Roots Pediatric Therapy |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 5976 Kingsford Ave, Park City, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962024943 | NPI | - | NPPES |
| 1972843712 | Medicaid | UT |
| Mailing Address | Practice Location Address |
|---|---|
| Roots Pediatric Therapy 5976 Kingsford Ave, Park City, UT 84098-6315 Ph: (907) 744-3978 | Roots Pediatric Therapy 5976 Kingsford Ave, Park City, UT 84098-6315 Ph: (907) 744-3978 |
Mrs. Stephanie Marie Rudisill, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1640 Redstone Center Dr, Suite 200, Park City, UT 84098 Phone: 214-575-9820 Fax: 214-575-9846 | |
Megan B Williams, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2015 Sidewinder Dr, Park City, UT 84060 Phone: 435-645-9095 Fax: 435-645-9092 | |
Stephanie Anne Polukoff, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4910 Bear View Dr, Park City, UT 84098 Phone: 435-640-9001 | |
Bounce Therapy Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6318 View Dr, Park City, UT 84098 Phone: 435-655-1210 | |
Lacey Ann Zimmermann, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4554 Forestdale Dr Unit E26, Park City, UT 84098 Phone: 435-400-4064 | |
Darrell Larry, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1640 Redstone Center Dr, Suite 200, Park City, UT 84098 Phone: 312-301-0411 | |
Nichole Bernhard, O.T.R. Occupational Therapist Medicare: Medicare Enrolled Practice Location: 900 Round Valley Dr, Park City, UT 84060 Phone: 435-658-7359 |