| Mr Daniel W Roberts, PT | |
|
707 S Park St, Deer Park, WA 99006-0948 | |
| (509) 276-8811 | |
| (866) 629-4801 |
| Full Name | Mr Daniel W Roberts |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist - Orthopedic |
| Location | 707 S Park St, Deer Park, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295738813 | NPI | - | NPPES |
| 8334120 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | PT00002482 (Washington) | Primary |
| Provider Name | Deer Park Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1306903182 PECOS PAC ID: 6103716840 Enrollment ID: O20040317000788 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Daniel W Roberts, PT 707 S Park St, Deer Park, WA 99006-0948 Ph: (509) 276-8811 | Mr Daniel W Roberts, PT 707 S Park St, Deer Park, WA 99006-0948 Ph: (509) 276-8811 |
Carey Ann Mack, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 24206 N Donielle Ln, Deer Park, WA 99006 Phone: 509-991-6585 | |
Andrew S Roberts, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 707 S Park St, Deer Park, WA 99006 Phone: 509-276-8811 Fax: 866-629-4801 | |
Samantha Iranon, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 707 S Park St, Deer Park, WA 99006 Phone: 509-276-8811 | |
Benjamin Steven Tucker, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 707 S Park St, Deer Park, WA 99006 Phone: 509-276-8811 | |
Deer Park Physical Therapy Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 707 S Park St, Deer Park, WA 99006 Phone: 509-276-8811 Fax: 866-629-4801 | |
Ms. Kerry Kathleen Suarez, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 707 S. Park St., Deer Park, WA 99006 Phone: 509-276-8811 Fax: 866-629-4801 |