Rumen Antoniev Petkov, OT | |
5168 W Augusta Ave, Glendale, AZ 85301-1469 | |
(651) 442-5094 | |
Not Available |
Full Name | Rumen Antoniev Petkov |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 5168 W Augusta Ave, Glendale, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245613553 | NPI | - | NPPES |
432233 | Other | NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY (NBCOT) |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OTH-007999 (Arizona) | Primary |
Provider Name | Petkov Bodywork Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1386271690 PECOS PAC ID: 8820428444 Enrollment ID: O20200423000321 |
Mailing Address | Practice Location Address |
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Rumen Antoniev Petkov, OT 5168 W Augusta Ave, Glendale, AZ 85301-1469 Ph: (651) 442-5094 | Rumen Antoniev Petkov, OT 5168 W Augusta Ave, Glendale, AZ 85301-1469 Ph: (651) 442-5094 |
Ms. Veda Marie Collmer, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 5146 W Whispering Wind Dr, Glendale, AZ 85310 Phone: 508-951-0264 | |
Grace Federico, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4535 W Cholla St, Glendale, AZ 85304 Phone: 602-896-5100 | |
Fernando Oregel, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7991 W Montebello Ave, Glendale, AZ 85303 Phone: 623-349-2060 | |
Mr. Ty J. Pehrson, M.O.T. Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 5281 N 99th Ave Ste 200, Glendale, AZ 85305 Phone: 623-889-0411 Fax: 623-889-0410 | |
Alexis Wilkie, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4545 W Beardsley Rd, Apt 2004, Glendale, AZ 85308 Phone: 623-815-4156 | |
Mrs. Allison Duckett Miller, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6701 W Union Hills Dr, Suite 2, Glendale, AZ 85308 Phone: 602-439-7400 | |
Ms. Cynthia L Fleming, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7071 W Hillcrest Blvd, Glendale, AZ 85310 Phone: 623-376-3900 Fax: 623-376-3980 |