| Jennifer A Wagenbach, | |
|
177 Vulcan Dr, Lompoc, CA 93436-1406 | |
| (805) 733-7500 | |
| (805) 733-7510 |
| Full Name | Jennifer A Wagenbach |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 177 Vulcan Dr, Lompoc, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851633259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT 38348 (California) | Primary |
| Provider Name | Rp Medical Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1982094652 PECOS PAC ID: 3779877485 Enrollment ID: O20160803001405 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer A Wagenbach, 177 Vulcan Dr, Lompoc, CA 93436-1406 Ph: (805) 733-7500 | Jennifer A Wagenbach, 177 Vulcan Dr, Lompoc, CA 93436-1406 Ph: (805) 733-7500 |
Jeremy Mitchell, Physical Therapist Medicare: Medicare Enrolled Practice Location: 805 E Walnut Ave, Lompoc, CA 93436 Phone: 805-735-3714 | |
Juanita L. Carnahan, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 805 E Walnut Ave, Lompoc, CA 93436 Phone: 805-735-3714 Fax: 805-736-6392 | |
Carnahan Therapy/the Work Center, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 805 E Walnut Ave, Lompoc, CA 93436 Phone: 805-735-3714 Fax: 805-736-6392 | |
Kaylee Jarvis, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1225 N H St, Lompoc, CA 93436 Phone: 805-737-8700 | |
Andrew Robert Marrs, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 805 E Walnut Ave, Lompoc, CA 93436 Phone: 805-735-3714 | |
Timothy A. Marozick, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1225 N H St, Lompoc, CA 93436 Phone: 805-681-1761 Fax: 805-681-1768 | |
Meaghan O'leary, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 805 E Walnut Ave, Lompoc, CA 93436 Phone: 805-735-3714 |