Sisley Ng, | |
3484 Savannah Ave, White Bear Lake, MN 55110-4579 | |
(651) 235-4095 | |
Not Available |
Full Name | Sisley Ng |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 3484 Savannah Ave, White Bear Lake, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104505668 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 13050 (Minnesota) | Primary |
Provider Name | Orthopedic Centers Of Colorado |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1801339502 PECOS PAC ID: 2365714540 Enrollment ID: O20170823001317 |
Mailing Address | Practice Location Address |
---|---|
Sisley Ng, 3484 Savannah Ave, White Bear Lake, MN 55110-4579 Ph: (651) 235-4095 | Sisley Ng, 3484 Savannah Ave, White Bear Lake, MN 55110-4579 Ph: (651) 235-4095 |
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