| Central Coast Lymphedema | |
|
3271 S Higuera St Ste 102, San Luis Obispo, CA 93401-1205 | |
| (057) 829-3008 | |
| (805) 782-9700 |
| Full Name | Central Coast Lymphedema |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 3271 S Higuera St Ste 102, San Luis Obispo, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619360039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 35961 (California) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
| Provider Name | Jamie E Cinotto |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568577088 PECOS PAC ID: 7517963598 Enrollment ID: I20140804002587 |
| Provider Name | Olivia Anne Martinez |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720772759 PECOS PAC ID: 7618330812 Enrollment ID: I20230905002501 |
| Mailing Address | Practice Location Address |
|---|---|
| Central Coast Lymphedema 3271 S Higuera St Ste 102, San Luis Obispo, CA 93401-1205 Ph: (805) 782-9300 | Central Coast Lymphedema 3271 S Higuera St Ste 102, San Luis Obispo, CA 93401-1205 Ph: (057) 829-3008 |
Movement For Life Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 862 Meinecke Ave Ste 101, San Luis Obispo, CA 93405 Phone: 805-619-0414 Fax: 805-549-5253 | |
Bethany Ritter Askay, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1545 Higuera St, San Luis Obispo, CA 93401 Phone: 805-543-5633 Fax: 805-543-5990 | |
Sport, Spine & Orthopedic Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 862 Meinecke Ave, Suite 101, San Luis Obispo, CA 93405 Phone: 805-541-4714 Fax: 805-541-4235 | |
Dr. Logan Marshall, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 862 Meinecke Ave Ste 101, San Luis Obispo, CA 93405 Phone: 805-619-0414 Fax: 805-549-5253 | |
Mr. Laird Madison Reeds, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1422 Monterey St Ste C102, San Luis Obispo, CA 93401 Phone: 805-543-5100 Fax: 805-543-5106 | |
David Walter Svetich, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 211 Tank Farm Rd Ste B, San Luis Obispo, CA 93401 Phone: 805-714-5699 | |
Movement For Life Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 805 Aerovista Pl Ste 104, San Luis Obispo, CA 93401 Phone: 805-543-7771 Fax: 805-543-7761 |