Traci Dewan, PT, DPT | |
5402 Dayan St, Lowville, NY 13367-1100 | |
(315) 377-4114 | |
(315) 377-4115 |
Full Name | Traci Dewan |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 5402 Dayan St, Lowville, 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 |
---|---|---|---|
1164847059 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT-3406 (Idaho) | Secondary |
225100000X | Physical Therapist | 012270 (Georgia) | Secondary |
225100000X | Physical Therapist | 037532 (New York) | Primary |
Provider Name | R & R Rehabiliation Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1538350483 PECOS PAC ID: 0244328003 Enrollment ID: O20101025001207 |
Mailing Address | Practice Location Address |
---|---|
Traci Dewan, PT, DPT 74 Champion St, Carthage, NY 13619-1159 Ph: (267) 446-7226 | Traci Dewan, PT, DPT 5402 Dayan St, Lowville, NY 13367-1100 Ph: (315) 377-4114 |
Lynne Pominville, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7785 N State St, Lowville, NY 13367 Phone: 315-376-5225 | |
Sherry Lynn Beyer, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6006 Number Four Rd, Lowville, NY 13367 Phone: 315-377-4114 Fax: 315-377-4115 | |
Always Active Assessments Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7609 Baker Rd, Lowville, NY 13367 Phone: 315-376-3728 | |
Journey Physical Therapy Pllc Physical Therapist Medicare: Medicare Enrolled Practice Location: 6006 Number Four Rd, Lowville, NY 13367 Phone: 315-377-4114 Fax: 315-377-4115 | |
Angela M Millard, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7785 N. State Street, Rehab Department, Lowville, NY 13367 Phone: 315-376-5225 | |
Mrs. Miranda Austin Lehman, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7785 N State St, Lowville, NY 13367 Phone: 315-376-5225 |