| Dr Sarah Alicia Paulson, PT, DPT | |
|
224 W D. L. Ingram Avenue, Bldg. 1408, Cannon Afb, NM 88103 | |
| (575) 784-2778 | |
| Not Available |
| Full Name | Dr Sarah Alicia Paulson |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 224 W D. L. Ingram Avenue, Cannon Afb, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639945967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT6043 (New Mexico) | Secondary |
| 225100000X | Physical Therapist | PT33859 (Florida) | Primary |
| Provider Name | Premier Rehab Management Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1821014390 PECOS PAC ID: 1951586890 Enrollment ID: O20120418000648 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sarah Alicia Paulson, PT, DPT 224 W D. L. Ingram Avenue, Bldg. 1408, Cannon Afb, NM 88103 Ph: (575) 904-4025 | Dr Sarah Alicia Paulson, PT, DPT 224 W D. L. Ingram Avenue, Bldg. 1408, Cannon Afb, NM 88103 Ph: (575) 784-2778 |
Dr. Taylor A Waters, PT,DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 224 W D. L. Ingram Avenue, Bldg 1408, Cannon Afb, NM 88103 Phone: 540-692-4484 | |
Matthew Richard Bass, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 27th Special Operations Medical Group, 224 W D. L. Ingram Avenue, Bldg. 1408, Cannon Afb, NM 88103 Phone: 720-592-5310 | |
Joel M Henderson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 224 W D L Ingram Avenue, Bldg 1408, Cannon Afb, NM 88103 Phone: 575-784-2778 | |
Ashton Nanette Wedemeyer, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 124 N Aderholt Loop, Cannon Afb, NM 88103 Phone: 575-904-3506 | |
Taylor Buessing, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 224 W D. L. Ingram Avenue, Bldg. 1408, Cannon Afb, NM 88103 Phone: 575-784-2778 | |
Dr. Joseph A Williams, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 208 W Dl Ingram Ave, 27 Somdg, Cannon Afb, NM 88103 Phone: 575-784-4425 |