| Marc Lee Charbonneau, PT | |
|
Building 99, Unit 5024, Misawa Ab, Apo, AP 96319 | |
| (315) 226-6111 | |
| Not Available |
| Full Name | Marc Lee Charbonneau |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | Building 99, Unit 5024, Misawa Ab, Apo, Armed Forces Pacific |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346365103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 8226 (Arizona) | Primary |
| Provider Name | Orthopedic Specialists Of North America Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770812828 PECOS PAC ID: 7719014505 Enrollment ID: O20100428000061 |
| Mailing Address | Practice Location Address |
|---|---|
| Marc Lee Charbonneau, PT Po Box 80217, Phoenix, AZ 85060-0217 Ph: (602) 385-2115 | Marc Lee Charbonneau, PT Building 99, Unit 5024, Misawa Ab, Apo, AP 96319 Ph: (315) 226-6111 |
Kimberly Mccoy-singh, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 374 Mdg, Unit 5071, Apo, AP 96328 Phone: 315-225-7508 | |
John M Tonarelli, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Psc 2, Apo, AP 96264 Phone: 315-782-7705 | |
Hector David Chavez, PT, DPT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Opc 80 Box 5217, Apo, AP 96368 Phone: 098-630-4817 | |
Doris Nieves, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Bdaach/549th Hc Usag Humphreys Bldg. #3030, Unit #15245, Apo, AP 96271 Phone: 011-822-7917 | |
Richard Keith Smith, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Brian D Allgood Army Community Hospital, Apo, AP 96297 Phone: 512-961-0440 | |
Nicholas Victor Oberholtzer, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Brian D. Allgood Army Community Hospital (bdaach), Unit #15245; Bldg 3031, Apo, AP 96271 Phone: 717-318-0829 | |
Mychelle Phan, PT, DPT, OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 35th Medical Group, Apo, AP 96319 Phone: 315-226-6835 |