| Dana Sophia D'eagle, OT | |
|
32030 23rd Ave S, Federal Way, WA 98003-6031 | |
| (253) 946-4852 | |
| (253) 946-4862 |
| Full Name | Dana Sophia D'eagle |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 32030 23rd Ave S, Federal Way, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881687838 | NPI | - | NPPES |
| 112691 | Other | WA | DEPT OF L&I |
| AC7585 | Other | WA | REGENCE B/S |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT00002169 (Washington) | Primary |
| Provider Name | Apple Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1902808470 PECOS PAC ID: 7810892072 Enrollment ID: O20031202000184 |
| Mailing Address | Practice Location Address |
|---|---|
| Dana Sophia D'eagle, OT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (630) 296-2223 | Dana Sophia D'eagle, OT 32030 23rd Ave S, Federal Way, WA 98003-6031 Ph: (253) 946-4852 |
Cheryl Ramadan-jradi, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1010 South 336th Street, Suite 210, Federal Way, WA 98003 Phone: 866-835-8091 | |
Katie Gustavson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1010 S 336th St Ste 210, Federal Way, WA 98003 Phone: 866-835-8091 | |
Nicole Martin, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1010 S 336th St, Federal Way, WA 98003 Phone: 253-835-5769 | |
Maryanne Church Trettenero, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1010 S 336th St, 210, Federal Way, WA 98003 Phone: 866-835-8091 Fax: 888-835-7102 | |
Carrie Kathryn Harstad, MSOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 29880 9th Ave Sw, Federal Way, WA 98023 Phone: 253-318-2298 | |
Jennifer Nguyen, MOT, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1010 S 336th St Ste 112, Federal Way, WA 98003 Phone: 253-904-0208 | |
Denise Nickell, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1010 S 336th St Ste 210, Federal Way, WA 98003 Phone: 866-835-8091 |