| Roberta Blancq, PT | |
|
319 W Town Pl, Suite 5, St Augustine, FL 32092-3101 | |
| (904) 342-5262 | |
| (904) 217-3580 |
| Full Name | Roberta Blancq |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 319 W Town Pl, St Augustine, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851791081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT21548 (Florida) | Primary |
| Provider Name | First Coast Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1003823709 PECOS PAC ID: 9436255973 Enrollment ID: O20070501000021 |
| Mailing Address | Practice Location Address |
|---|---|
| Roberta Blancq, PT 319 W Town Pl, Suite 5, St Augustine, FL 32092-3101 Ph: (904) 342-5262 | Roberta Blancq, PT 319 W Town Pl, Suite 5, St Augustine, FL 32092-3101 Ph: (904) 342-5262 |
Angela Marie Cicchino, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 University Blvd, St Augustine, FL 32086 Phone: 904-829-3411 Fax: 904-829-3412 | |
Mr. Stephen A Vighetti, PT, MTC, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4020 Grande Vista Blvd, #114, St Augustine, FL 32084 Phone: 904-315-3416 | |
Dr. David Anthony Eldridge, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Orthopaedic Pl, St Augustine, FL 32086 Phone: 904-825-0540 Fax: 904-825-2490 | |
Erica J Kiernan, PT/OT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 105 Mariner Health Way, Ste 213, St Augustine, FL 32086 Phone: 904-217-4259 Fax: 904-217-4251 | |
Jerry Worley, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 245 Wildwood Dr, # 144, St Augustine, FL 32086 Phone: 904-687-9880 | |
Joseph R Edwards, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 968 Espinado Avenue, St Augustine, FL 32086 Phone: 954-805-0655 | |
Kaleb Griffel, DPT PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 University Blvd, St Augustine, FL 32086 Phone: 904-829-3411 Fax: 904-829-3412 |