| Nicole Dominique Jalandoni Vasquez, | |
|
1445 Galaxy Dr Ne Ste 301, Lacey, WA 98516-4754 | |
| (360) 456-1444 | |
| Not Available |
| Full Name | Nicole Dominique Jalandoni Vasquez |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 6 Years |
| Location | 1445 Galaxy Dr Ne Ste 301, Lacey, Washington |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033939244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT61432108 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Penrose And Associates Physical Therapy Llc | 1052403896 | 8 |
| Provider Name | Penrose & Associates Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1740480110 PECOS PAC ID: 1052403896 Enrollment ID: O20070823000833 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Dominique Jalandoni Vasquez, 6462 Steamer Dr Se, Lacey, WA 98513-6230 Ph: (564) 225-7309 | Nicole Dominique Jalandoni Vasquez, 1445 Galaxy Dr Ne Ste 301, Lacey, WA 98516-4754 Ph: (360) 456-1444 |
Dorothy Kilvington, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 130 Marvin Rd Se Ste 203, Lacey, WA 98503 Phone: 360-456-3300 | |
Abigail Namocatcat, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4200 6th Ave Se, Suite 201, Lacey, WA 98503 Phone: 360-459-8311 | |
Summer Rae Koogler, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5730 Ruddell Rd Se Ste A, Lacey, WA 98503 Phone: 360-338-3901 | |
Juman Park, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4800 College St Se, Lacey, WA 98503 Phone: 360-486-2900 | |
Samantha Rossi Perdue, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7940 29th Ave Ne Ste 101, Lacey, WA 98516 Phone: 360-870-2473 | |
Kathleen G Jech, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4770 Yelm Hwy Se, Lacey, WA 98503 Phone: 360-491-6074 Fax: 360-491-6192 |