| Deborah Ilealoha Dover, PT | |
|
500 Quintana Rd, Morro Bay, CA 93442-1938 | |
| (805) 772-7358 | |
| (805) 772-0409 |
| Full Name | Deborah Ilealoha Dover |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 500 Quintana Rd, Morro Bay, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750629713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT12086 (California) | Primary |
| Provider Name | Fwtw Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1285872812 PECOS PAC ID: 2264582576 Enrollment ID: O20090609000010 |
| Mailing Address | Practice Location Address |
|---|---|
| Deborah Ilealoha Dover, PT 500 Quintana Rd, Morro Bay, CA 93442-1938 Ph: (805) 772-7358 | Deborah Ilealoha Dover, PT 500 Quintana Rd, Morro Bay, CA 93442-1938 Ph: (805) 772-7358 |
Marissa Marie Cotroneo, Physical Therapist Medicare: Medicare Enrolled Practice Location: 890 Shasta Ave, Morro Bay, CA 93442 Phone: 805-772-4325 Fax: 805-772-2886 | |
Stephen Kerr, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Quintana Rd, Morro Bay, CA 93442 Phone: 805-772-7358 | |
Lois Boulgarides, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Quintana Rd, Morro Bay, CA 93442 Phone: 805-772-7358 | |
Orion Heil Hollings, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 890 Shasta Ave, Morro Bay, CA 93442 Phone: 805-772-4325 Fax: 805-772-2886 | |
Michael James Williams, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 890 Shasta Ave, Morro Bay, CA 93442 Phone: 805-772-4325 Fax: 805-772-2886 | |
Eric Balash, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 890 Shasta Ave, Morro Bay, CA 93442 Phone: 805-772-4325 Fax: 805-772-2886 | |
Dr. Alec Shahen Andoyan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Quintana Rd, Morro Bay, CA 93442 Phone: 805-772-7358 |