| Jewels Alyssa Tavera, DPT | |
|
8550 Lee Hwy Ste 450, Fairfax, VA 22031-1519 | |
| (703) 208-1002 | |
| (703) 208-1127 |
| Full Name | Jewels Alyssa Tavera |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 8550 Lee Hwy Ste 450, Fairfax, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356042634 | NPI | - | NPPES |
| Provider Name | Jackson Clinics Limited Partnership |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1639594831 PECOS PAC ID: 2860623295 Enrollment ID: O20140327000554 |
| Mailing Address | Practice Location Address |
|---|---|
| Jewels Alyssa Tavera, DPT 1610 N Avenue 55, Los Angeles, CA 90042-1107 Ph: (213) 453-3273 | Jewels Alyssa Tavera, DPT 8550 Lee Hwy Ste 450, Fairfax, VA 22031-1519 Ph: (703) 208-1002 |
Joseph Charles Berry, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4227 Summit Manor Ct Apt 103, Fairfax, VA 22033 Phone: 941-447-7992 | |
Thomas Finnegan Ronayne, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8501 Arlington Blvd Ste 200, Fairfax, VA 22031 Phone: 703-970-6490 | |
Kathleen Beight, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-391-3642 Fax: 703-391-3455 | |
Beena Nair, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3580 Joseph Siewick Dr Ste 202, Fairfax, VA 22033 Phone: 703-391-2450 Fax: 703-391-3142 | |
Mrs. Carolyn Marie Libert, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8301 Arlington Blvd, Suite 102, Fairfax, VA 22031 Phone: 703-207-8315 Fax: 703-573-2143 | |
Katherine Booker, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3650 Joseph Siewick Dr, Suite 308, Fairfax, VA 22033 Phone: 703-716-4794 Fax: 703-716-4806 | |
Mrs. Laurie Elizabeth Cunningham, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3750 Old Lee Hwy, Fairfax, VA 22030 Phone: 703-246-7184 Fax: 703-246-7307 |