| Cassandra Joann Wigboldy, DPT | |
|
1335 Cypress St Ste 100, San Dimas, CA 91773-3538 | |
| (909) 305-1383 | |
| Not Available |
| Full Name | Cassandra Joann Wigboldy |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1335 Cypress St Ste 100, San Dimas, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962918458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT294219 (California) | Primary |
| Provider Name | Covina Hills Sports Medicine Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1154369213 PECOS PAC ID: 9335102300 Enrollment ID: O20041110000680 |
| Mailing Address | Practice Location Address |
|---|---|
| Cassandra Joann Wigboldy, DPT Po Box 99, San Dimas, CA 91773-0099 Ph: (909) 305-1383 | Cassandra Joann Wigboldy, DPT 1335 Cypress St Ste 100, San Dimas, CA 91773-3538 Ph: (909) 305-1383 |
Rose Chang, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1301 W Arrow Hwy # 130, San Dimas, CA 91773 Phone: 909-222-2745 | |
Jessica Diab, PT,DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 309 Pony Express Rd, San Dimas, CA 91773 Phone: 909-519-1672 | |
Ashley Nicole Gomez, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1301 W Arrow Hwy Ste 130, San Dimas, CA 91773 Phone: 909-222-2745 | |
Building Blocks Therapy 4 Kids, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 221 N San Dimas Ave # 219, San Dimas, CA 91773 Phone: 909-519-8912 Fax: 909-593-8988 | |
Rebekah Vaca, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 630 W Arrow Hwy, San Dimas, CA 91773 Phone: 909-592-2778 Fax: 909-592-2789 | |
Thomas Gosal, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 630 W Arrow Hwy, San Dimas, CA 91773 Phone: 909-592-2778 Fax: 909-592-2789 | |
Dr. Ashley Laine Olsen, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1335 Cypress St, Suite 100, San Dimas, CA 91773 Phone: 909-305-1383 Fax: 909-305-1435 |