| Michael Andrew Slack, DPT | |
|
2817 Rock Merritt Ave, Fort Bragg, NC 28310 | |
| (224) 715-1689 | |
| Not Available |
| Full Name | Michael Andrew Slack |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 2817 Rock Merritt Ave, Fort Bragg, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003394495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Breakthrough Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558598532 PECOS PAC ID: 9234274754 Enrollment ID: O20100308000584 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Andrew Slack, DPT 2817 Rock Merritt Ave, Fort Bragg, NC 28310-0001 Ph: () - | Michael Andrew Slack, DPT 2817 Rock Merritt Ave, Fort Bragg, NC 28310 Ph: (224) 715-1689 |
Mrs. Patricia Ann Chippendale, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Wamc Stop A, 2817 Reilly Road Mcxc Dpc Ed, Fort Bragg, NC 28310 Phone: 910-907-7109 | |
Andrew Dwight Contreras, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2817 Reilly Rd, Fort Bragg, NC 28310 Phone: 910-907-8617 Fax: 910-907-6069 | |
Forrest Stieg, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2817 Rock Merritt Ave, Fort Bragg, NC 28310 Phone: 571-205-1721 | |
Sara Samchok, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2817 Rock Merritt Ave Womack Army Medical Center, Fort Bragg, NC 28310 Phone: 910-907-8707 | |
Mary Rose Del Carmen, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2817 Rock Merritt Avenue, Fort Bragg, NC 28310 Phone: 910-907-8922 Fax: 910-907-6069 | |
Michael Reeks, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2817 Rock Merritt Ave Womack Army Medical Center, Fort Bragg, NC 28310 Phone: 910-907-8922 Fax: 910-907-6069 |