| San Carlos Apache Healthcare Corporation | |
|
103 Medicine Way Road, Peridot, AZ 85542 | |
| (928) 475-1200 | |
| Not Available |
| Full Name | San Carlos Apache Healthcare Corporation |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 103 Medicine Way Road, Peridot, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619326311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| San Carlos Apache Healthcare Corporation Po Box 787, Peridot, AZ 85542-0787 Ph: () - | San Carlos Apache Healthcare Corporation 103 Medicine Way Road, Peridot, AZ 85542 Ph: (928) 475-1200 |
Madison Jean Ewing, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 103 Medicine Way Rd, Peridot, AZ 85542 Phone: 928-475-1400 | |
Brandon Thomas Goodman, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 103 Medicine Way Rd, Peridot, AZ 85542 Phone: 928-475-1200 |