| Stacie Suzanne Roeder, | |
|
35324 Highway 41, Suite D, Coarsegold, CA 93614-9285 | |
| (559) 641-5445 | |
| (559) 641-5449 |
| Full Name | Stacie Suzanne Roeder |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 35324 Highway 41, Coarsegold, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104206093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT25756 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Stacie Suzanne Roeder, 35324 Highway 41, Suite D, Coarsegold, CA 93614-9285 Ph: (559) 641-5445 | Stacie Suzanne Roeder, 35324 Highway 41, Suite D, Coarsegold, CA 93614-9285 Ph: (559) 641-5445 |
Bryan Lequia, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 47616 Willow Pond Rd, Coarsegold, CA 93614 Phone: 949-201-8946 | |
Coarsegold Physical Therapy, Incorporated Physical Therapist Medicare: Medicare Enrolled Practice Location: 35324 Highway 41, Suite D, Coarsegold, CA 93614 Phone: 559-641-5445 Fax: 559-641-5449 |