| Healthpro Heritage Rehab & Fitness, Llc | |
|
377 Nw Jasper St, Dallas, OR 97338-1279 | |
| (864) 244-3626 | |
| Not Available |
| Full Name | Healthpro Heritage Rehab & Fitness, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 377 Nw Jasper St, Dallas, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376272732 | NPI | - | NPPES |
| Provider Name | Brenda M Long |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396907390 PECOS PAC ID: 0840412979 Enrollment ID: I20141105001214 |
| Provider Name | Eric Taylor |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1386376010 PECOS PAC ID: 2163805029 Enrollment ID: I20220810002972 |
| Provider Name | Gijsbert Jeroen Laport |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194987107 PECOS PAC ID: 8921483835 Enrollment ID: I20220913002903 |
| Mailing Address | Practice Location Address |
|---|---|
| Healthpro Heritage Rehab & Fitness, Llc Po Box 69211, Baltimore, MD 21264-9211 Ph: (615) 406-3997 | Healthpro Heritage Rehab & Fitness, Llc 377 Nw Jasper St, Dallas, OR 97338-1279 Ph: (864) 244-3626 |
Timothy Ryan Jamar, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 377 Nw Jasper St, Dallas, OR 97338 Phone: 503-623-5581 | |
Rolf Jett Vognild, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17550 Gardner Rd, Dallas, OR 97338 Phone: 503-623-4084 | |
Melinda Walker, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 322 Main St # 326, Dallas, OR 97338 Phone: 503-837-1316 | |
Troy J Hattan, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 525 Se Washington St, Dallas, OR 97338 Phone: 503-623-7305 Fax: 503-623-7325 | |
Braedon Clay Miller, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 641 Se Miller Ave, Dallas, OR 97338 Phone: 503-623-7305 | |
Julie Segura, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3150 Barnhart Rd, Dallas, OR 97338 Phone: 503-831-3617 |