Taia Euceda, DPT | |
1910 South Rd, Poughkeepsie, NY 12601-6053 | |
(845) 454-8377 | |
Not Available |
Full Name | Taia Euceda |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 1910 South Rd, Poughkeepsie, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962264085 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (South Carolina) | Secondary |
225100000X | Physical Therapist | 051487 (New York) | Primary |
Provider Name | Greenville Proaxis Therapy Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1669457859 PECOS PAC ID: 0244267771 Enrollment ID: O20050726000769 |
Mailing Address | Practice Location Address |
---|---|
Taia Euceda, DPT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Taia Euceda, DPT 1910 South Rd, Poughkeepsie, NY 12601-6053 Ph: (845) 454-8377 |
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