| Kathleen Withrow, RPT | |
|
7101 Majestic Ct, Vallejo, CA 94591-8553 | |
| (170) 736-33113 | |
| Not Available |
| Full Name | Kathleen Withrow |
|---|---|
| Gender | Female |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 7101 Majestic Ct, Vallejo, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770092934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | PT15906 (California) | Primary |
| Entity Name | California Luna Care Physical Therapy Pc |
|---|---|
| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Entity Identifiers | NPI Number: 1689162166 PECOS PAC ID: 9638427834 Enrollment ID: O20180803002123 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Withrow, RPT 7101 Majestic Ct, Vallejo, CA 94591-8553 Ph: (170) 736-33113 | Kathleen Withrow, RPT 7101 Majestic Ct, Vallejo, CA 94591-8553 Ph: (170) 736-33113 |
Dr. Roberta Yiwun Wang, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-5128 | |
Jack Ryan Takahashi, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr # 218, Vallejo, CA 94589 Phone: 707-651-1000 | |
Yonghua Tai, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1044 | |
Raymond A. Samatovicz, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1044 | |
Ralph Crisostomo, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Spine Clinic H31, Vallejo, CA 94589 Phone: 707-651-1000 | |
Elliott Sinclair Block, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 909-724-4127 | |
Spencer H. Wang, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-2306 |