| Pitacle Fairy Incorporated | |
|
1115 E Los Angeles Ave, Simi Valley, CA 93065-2801 | |
| (806) 306-1840 | |
| (805) 306-1839 |
| Full Name | Pitacle Fairy Incorporated |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1115 E Los Angeles Ave, Simi Valley, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255500302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Pitacle Fairy Incorporated 1115 E. Los Angeles Avenue, Simi Valley, CA 93065 Ph: (806) 306-1840 | Pitacle Fairy Incorporated 1115 E Los Angeles Ave, Simi Valley, CA 93065-2801 Ph: (806) 306-1840 |
Mark Mako, P.T., O.C.S. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2585 Cochran St, Suite A, Simi Valley, CA 93065 Phone: 805-584-0001 Fax: 805-527-9135 | |
Antonio Oribel Torres, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2034 Sebring St, Simi Valley, CA 93065 Phone: 661-342-6748 | |
Mr. Brian Carson, M.P.T., C.S.C.S. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1464 Madera Rd, Suite G, Simi Valley, CA 93065 Phone: 805-306-1622 Fax: 805-306-1611 | |
Mrs. Kristin Gail Kerns, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1687 Erringer Rd, Suite 109, Simi Valley, CA 93065 Phone: 805-584-8054 Fax: 805-584-2437 | |
Molly Breckley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2525 Erringer Rd, Simi Valley, CA 93065 Phone: 805-526-2311 Fax: 805-526-6608 | |
Dr. Sean Edward Wronka, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1464 Madera Rd Unit I-1, Simi Valley, CA 93065 Phone: 805-306-1622 | |
Synergy Physical Therapy & Wellness, Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1899 Clarkia St, Simi Valley, CA 93065 Phone: 805-261-9621 |