Kathryn Fazio, PT | |
11471 E Loop 1604 N Ste 101, Universal City, TX 78148-3960 | |
(210) 428-7845 | |
(210) 741-7699 |
Full Name | Kathryn Fazio |
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Gender | Female |
Speciality | Physical Therapist |
Location | 11471 E Loop 1604 N Ste 101, Universal City, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275966343 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 036747 (New York) | Primary |
Provider Name | Physical Therapy At Oakdale |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073554788 PECOS PAC ID: 2466425889 Enrollment ID: O20040814000119 |
Mailing Address | Practice Location Address |
---|---|
Kathryn Fazio, PT 11471 E Loop 1604 N Ste 101, Universal City, TX 78148-3960 Ph: (210) 428-7845 | Kathryn Fazio, PT 11471 E Loop 1604 N Ste 101, Universal City, TX 78148-3960 Ph: (210) 428-7845 |
Gary Steven Hamre, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 970 Coronado Blvd, Universal City, TX 78148 Phone: 210-659-2154 Fax: 210-659-2405 | |
Haley Gill, DPT, OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 221 3rd St W Bldg 1040, Universal City, TX 78150 Phone: 210-652-6065 | |
Alexandra Rae Masarik, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 962 Coronado Blvd, Universal City, TX 78148 Phone: 210-526-4100 | |
Dina Lynn Delgado, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 165 Barbara Bnd, Universal City, TX 78148 Phone: 516-849-6330 |