Stacie Suzanne Roeder, | |
35324 Highway 41, Suite D, Coarsegold, CA 93614-9285 | |
(559) 641-5445 | |
(559) 641-5449 |
Full Name | Stacie Suzanne Roeder |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 35324 Highway 41, Coarsegold, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104206093 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT25756 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Stacie Suzanne Roeder, 35324 Highway 41, Suite D, Coarsegold, CA 93614-9285 Ph: (559) 641-5445 | Stacie Suzanne Roeder, 35324 Highway 41, Suite D, Coarsegold, CA 93614-9285 Ph: (559) 641-5445 |
Bryan Lequia, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 47616 Willow Pond Rd, Coarsegold, CA 93614 Phone: 949-201-8946 | |
Coarsegold Physical Therapy, Incorporated Physical Therapist Medicare: Medicare Enrolled Practice Location: 35324 Highway 41, Suite D, Coarsegold, CA 93614 Phone: 559-641-5445 Fax: 559-641-5449 |