| Samantha Iranon, DPT | |
|
707 S Park St, Deer Park, WA 99006-7025 | |
| (509) 276-8811 | |
| Not Available |
| Full Name | Samantha Iranon |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| 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 |
|---|---|---|---|
| 1104201573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 60539729 (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 |
| Provider Name | U District Physical Therapy And Institute Of Sports Performance |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1992845630 PECOS PAC ID: 1153312343 Enrollment ID: O20040518000904 |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Iranon, DPT 707 S Park St, Deer Park, WA 99006-7025 Ph: (509) 276-8811 | Samantha Iranon, DPT 707 S Park St, Deer Park, WA 99006-7025 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 | |
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 | |
Mr. Daniel W Roberts, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 707 S Park St, Deer Park, WA 99006 Phone: 509-276-8811 Fax: 866-629-4801 | |
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 |