Tamara Lynn Johann Moreno, DPT | |
300 Pasteur Dr, Stanford, CA 94305-2200 | |
(650) 723-4000 | |
Not Available |
Full Name | Tamara Lynn Johann Moreno |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 300 Pasteur Dr, Stanford, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942337225 | NPI | - | NPPES |
28807 | Other | CA | LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 28807 (California) | Primary |
Provider Name | Stanford Health Care |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348 |
Mailing Address | Practice Location Address |
---|---|
Tamara Lynn Johann Moreno, DPT 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: (650) 723-4000 | Tamara Lynn Johann Moreno, DPT 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: (650) 723-4000 |
Pamela M. Triano, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Pasteur Dr, Room H3124, Stanford, CA 94305 Phone: 650-498-7852 | |
Melissa Hodgins, MSPT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 341 Galvez St, Stanford, CA 94305 Phone: 650-723-1213 | |
Marie Boo, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 341 Galvez St, Stanford, CA 94305 Phone: 650-721-2062 | |
Ms. Rebekah Phillips Mikkelsen, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Stanford University Hospital, Pasteur Drive, Stanford, CA 94035 Phone: 650-723-6701 | |
Daleen Knight, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Parnasus Drive, Stanford, CA 94305 Phone: 650-723-6701 | |
Dr. Kiely Marie Schmidt, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-725-5108 | |
Milena Matzinger, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-6701 |