Dr Jillian Mary Soldan, DPT | |
1008 Minnequa Ave, Pueblo, CO 81004-3733 | |
(719) 557-5817 | |
Not Available |
Full Name | Dr Jillian Mary Soldan |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 1008 Minnequa Ave, Pueblo, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477948925 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PTL.0012479 (Colorado) | Secondary |
225100000X | Physical Therapist | 12612 (South Carolina) | Primary |
Provider Name | Legacy Healthcare Services Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1366063000 PECOS PAC ID: 2163339722 Enrollment ID: O20200629001631 |
Mailing Address | Practice Location Address |
---|---|
Dr Jillian Mary Soldan, DPT 403 Honeybee Ln, Lexington, SC 29072-6794 Ph: (716) 435-1654 | Dr Jillian Mary Soldan, DPT 1008 Minnequa Ave, Pueblo, CO 81004-3733 Ph: (719) 557-5817 |
Karen Bishop, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4112 Outlook Blvd, Ste 96, Pueblo, CO 81008 Phone: 719-266-1788 Fax: 719-776-4700 | |
Michelle Perse, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4115 Club Manor Drive, Pueblo, CO 81008 Phone: 719-568-9790 | |
Dane M Farnworth, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3525 Spaulding Ave, Pueblo, CO 81008 Phone: 719-542-4444 Fax: 719-543-1990 | |
Cydne Rossi, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1275 W Pueblo Blvd, Pueblo, CO 81004 Phone: 719-542-0589 | |
Todd S Chilson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 387 E Enterprise Dr Ste 160, Pueblo, CO 81007 Phone: 719-924-8912 Fax: 719-696-9115 | |
Mary Margaret Whelan Leffert, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1209 Paseo Del Norte Ste 3, Pueblo, CO 81008 Phone: 719-569-5691 Fax: 719-569-5689 | |
Shannon A Egan, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1275 W Pueblo Blvd, Pueblo, CO 81004 Phone: 719-542-0589 Fax: 719-542-0119 |