Stefan Cantwell, DPT | |
3870 Stadium Way Dept 2701, Ogden, UT 84408-2701 | |
(801) 626-7712 | |
(801) 626-7264 |
Full Name | Stefan Cantwell |
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Gender | Male |
Speciality | Physical Therapist |
Location | 3870 Stadium Way Dept 2701, Ogden, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023850112 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 13970066-2401 (Utah) | Primary |
Provider Name | Sundance Physical Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1932265758 PECOS PAC ID: 8729067236 Enrollment ID: O20040719000256 |
Mailing Address | Practice Location Address |
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Stefan Cantwell, DPT 3870 Stadium Way Dept 2701, Ogden, UT 84408-2701 Ph: (801) 626-7712 | Stefan Cantwell, DPT 3870 Stadium Way Dept 2701, Ogden, UT 84408-2701 Ph: (801) 626-7712 |
Ernie Chasias Chavez, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5349 S Adams Ave, Suite A, Ogden, UT 84405 Phone: 801-479-9865 Fax: 801-479-5846 | |
Kfdd Physical Therapy & Sports Medicine Clinic Physical Therapist Medicare: Medicare Enrolled Practice Location: 2261 Kiesel Ave., Suite #320, Ogden, UT 84401 Phone: 801-621-8835 Fax: 801-528-5357 | |
Melissa Arlene Ita'aehau, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5349 S Adams Ave, Suite A, Ogden, UT 84405 Phone: 801-479-9865 Fax: 801-479-5846 | |
Dallen S Wheelwright, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 375 E 5350 S, Ogden, UT 84405 Phone: 801-479-5700 | |
Chariton Arnold Ferrin Iii, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-7615 Fax: 801-387-7667 | |
Scott C Roberts, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4700 Harrison Blvd, Ogden, UT 84403 Phone: 801-475-3870 Fax: 801-475-3876 |