Southshore Physical Therapy Pllc | |
104 12th Ave Nw Unit 5, Hazen, ND 58545-4106 | |
(701) 891-2043 | |
Not Available |
Full Name | Southshore Physical Therapy Pllc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 104 12th Ave Nw Unit 5, Hazen, North Dakota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134874654 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Nicholas J Miller |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1902191778 PECOS PAC ID: 8820267404 Enrollment ID: I20110816000863 |
Mailing Address | Practice Location Address |
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Southshore Physical Therapy Pllc 104 12th Ave Nw Unit 5, Hazen, ND 58545-4106 Ph: (701) 891-2043 | Southshore Physical Therapy Pllc 104 12th Ave Nw Unit 5, Hazen, ND 58545-4106 Ph: (701) 891-2043 |
Ella Rica Maranan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 510 8th Ave Ne, Hazen, ND 58545 Phone: 701-748-7276 | |
Dannette Rosella Huber, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 510 8th Ave Ne, Hazen, ND 58545 Phone: 701-748-2225 | |
Rachel Savageau, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5705 Highway 200, Hazen, ND 58545 Phone: 701-751-0994 Fax: 701-751-1657 | |
Ortho-sports Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 222 7th Street Nw, Hazen, ND 58545 Phone: 701-748-3700 Fax: 701-748-3707 | |
Jennifer Hetzler, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 510 8th Ave Ne, Hazen, ND 58545 Phone: 701-748-2225 Fax: 701-748-5757 | |
Lisa Fletcher, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 510 8th Ave Ne, Hazen, ND 58545 Phone: 701-748-7276 |