| Colleen Elizabeth Maravilla, RPT | |
|
3536 Concours Ste 225, Ontario, CA 91764-5585 | |
| (909) 944-0486 | |
| Not Available |
| Full Name | Colleen Elizabeth Maravilla |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 3536 Concours Ste 225, Ontario, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366001802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 41261 (California) | Primary |
| Provider Name | New Life Physical Therapy Services Pc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1285160788 PECOS PAC ID: 7214207125 Enrollment ID: O20170726001800 |
| Provider Name | Wound Healing Care Specialists Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1306317961 PECOS PAC ID: 5698019602 Enrollment ID: O20181203001136 |
| Mailing Address | Practice Location Address |
|---|---|
| Colleen Elizabeth Maravilla, RPT 824 Arcadia Ave Apt 21, Arcadia, CA 91007-7224 Ph: (909) 615-0091 | Colleen Elizabeth Maravilla, RPT 3536 Concours Ste 225, Ontario, CA 91764-5585 Ph: (909) 944-0486 |
Mr. Allan P. Dizon, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1950 S Mountain Ave, Ontario, CA 91762 Phone: 909-467-6183 Fax: 909-983-5814 | |
Dr. Monique Jolie Charbonnet, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 950 W D St, Ontario, CA 91762 Phone: 909-459-2500 | |
Raheela A James, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1101 S Milliken Ave, Suite B, C, D, Ontario, CA 91761 Phone: 615-778-4066 | |
Christine M Nator, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1101 S Milliken Ave, Suite B,c,d, Ontario, CA 91761 Phone: 615-778-4066 | |
Sarah Elise Nowosad, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2295 S Vineyard Ave, Ontario, CA 91761 Phone: 833-574-2273 | |
Brian Huang, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2295 S Vineyard Ave, Ontario, CA 91761 Phone: 909-724-5000 | |
Jennifer Alleen Reyes, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2295 S Vineyard Ave, Ontario, CA 91761 Phone: 866-454-3485 |