| Adam Procino, | |
|
1205 Foxcrest Dr, Park City, UT 84098-6330 | |
| (801) 674-6422 | |
| Not Available |
| Full Name | Adam Procino |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1205 Foxcrest Dr, Park City, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336449602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 283258-2401 (Utah) | Primary |
| Provider Name | Ihc Health Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1033822085 PECOS PAC ID: 1850209420 Enrollment ID: O20230627000064 |
| Mailing Address | Practice Location Address |
|---|---|
| Adam Procino, 1205 Foxcrest Dr, Park City, UT 84098-6330 Ph: (801) 674-6422 | Adam Procino, 1205 Foxcrest Dr, Park City, UT 84098-6330 Ph: (801) 674-6422 |
Kathleen S Bochnowski, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6030 Market St, Suite 135, Park City, UT 84098 Phone: 435-575-0345 Fax: 435-575-0346 | |
Avery Nicole Alexander, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1850 Sidewinder Dr, Park City, UT 84060 Phone: 435-645-9095 | |
Mrs. Larissa Gizelle Neal, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1640 Redstone Center Dr, 200, Park City, UT 84098 Phone: 888-800-8744 | |
Kristen Prejean, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1640 Redstone Ctr Dr, Park City, UT 84098 Phone: 888-800-8744 | |
Sandra Michele Saluti, M.S.,P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1640 Redstone Center Dr, Park City, UT 84098 Phone: 888-800-8744 | |
Sarah B Vaughan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1640 Redstone Center Dr, Suite 200, Park City, UT 84098 Phone: 866-474-6677 | |
Ms. Kieran Angelica Glenbockie, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1640 Redstone Center Dr, Suite 200, Park City, UT 84098 Phone: 888-800-8744 |