| Angela Defazio, DPT | |
|
463 Tremont St W, Suite 100, Port Orchard, WA 98366-3743 | |
| (360) 874-0745 | |
| Not Available |
| Full Name | Angela Defazio |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 463 Tremont St W, Port Orchard, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891100566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 60161880 (Washington) | Primary |
| Provider Name | Multicare Health System |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Defazio, DPT 463 Tremont St W, Suite 100, Port Orchard, WA 98366-3743 Ph: (360) 874-0745 | Angela Defazio, DPT 463 Tremont St W, Suite 100, Port Orchard, WA 98366-3743 Ph: (360) 874-0745 |
David Allan Hull, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4459 Se Mile Hill Dr, Port Orchard, WA 98366 Phone: 253-227-2253 | |
Kayla Marie Ellison, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1880 Pottery Ave Ste 100, Port Orchard, WA 98366 Phone: 360-895-9090 | |
Christopher Jonathan Neal, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 451 Sw Sedgwick Rd Ste 310, Port Orchard, WA 98367 Phone: 951-696-9353 Fax: 951-973-7216 | |
Forest Bingham, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1880 Pottery Ave Ste 100, Port Orchard, WA 98366 Phone: 360-859-9090 | |
Mrs. Rhonda E. Law, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1880 Pottery Ave, Suite 100, Port Orchard, WA 98366 Phone: 360-895-9090 Fax: 360-895-9089 | |
Marijke Augusta Edwards, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 463 Tremont St W Ste 100, Port Orchard, WA 98366 Phone: 360-874-0745 Fax: 360-874-0846 | |
Nicole Marie Padmos, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9602 Sunburst Ct Se, Port Orchard, WA 98367 Phone: 360-731-9519 |