| Cristine Plaza, DPT | |
|
4655 66th St N, Kenneth City, FL 33709-4827 | |
| (727) 546-4700 | |
| (727) 549-8108 |
| Full Name | Cristine Plaza |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 4655 66th St N, Kenneth City, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609311968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT32127 (Florida) | Primary |
| Provider Name | Back In Motion Cape Coral Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1477167898 PECOS PAC ID: 4688094394 Enrollment ID: O20201019002950 |
| Mailing Address | Practice Location Address |
|---|---|
| Cristine Plaza, DPT 4655 66th St N, Kenneth City, FL 33709-4827 Ph: (727) 546-4700 | Cristine Plaza, DPT 4655 66th St N, Kenneth City, FL 33709-4827 Ph: (727) 546-4700 |
Tanner Shellenbarger, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4655 66th St N Ste 22b, Kenneth City, FL 33709 Phone: 727-546-4700 | |
Amber Knight, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6006 47th Ave N, Kenneth City, FL 33709 Phone: 318-680-8467 | |
Verlyrose Christine Taruc Torres, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4250 66th St N, Kenneth City, FL 33709 Phone: 727-546-2405 | |
Cristina Brassil, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4356 66th St N, Kenneth City, FL 33709 Phone: 727-546-4700 | |
Mrs. Kristy Ann Lake, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4356 66th St N, Kenneth City, FL 33709 Phone: 727-546-4700 Fax: 727-549-8108 | |
Joseph R Zucco, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4655 66th St N, Kenneth City, FL 33709 Phone: 727-546-4700 Fax: 727-549-8108 |