| Kevin Seil Park, PT | |
|
915 S Cameron St, Colton, CA 92324-7500 | |
| (909) 835-6708 | |
| Not Available |
| Full Name | Kevin Seil Park |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 915 S Cameron St, Colton, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295313443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 38299 (California) | Primary |
| Provider Name | Southern California Permanente Medical Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Seil Park, PT 915 S Cameron St, Colton, CA 92324-7500 Ph: (909) 835-6708 | Kevin Seil Park, PT 915 S Cameron St, Colton, CA 92324-7500 Ph: (909) 835-6708 |
Shannon Injety, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1001 E Cooley Dr, Ste 101, Colton, CA 92324 Phone: 909-783-1111 Fax: 909-783-3957 | |
Mrs. Julie Adele Swafford, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1167 Mohave Dr, Colton, CA 92324 Phone: 909-580-0600 | |
Kalli Ann Wilkens, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 930 S Mount Vernon Ave Ste 400, Colton, CA 92324 Phone: 909-370-3396 Fax: 909-783-4288 | |
Debbie Mackenzie, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1001 E Cooley Dr, Ste 101, Colton, CA 92324 Phone: 909-783-1111 Fax: 909-783-3957 | |
Danielle Kathleen Ferguson, PHYSICAL THERAPIST Physical Therapist Medicare: Medicare Enrolled Practice Location: 930 S Mount Vernon Ave Ste 400, Colton, CA 92324 Phone: 909-883-5069 | |
Saritha Ramasamy, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1150 S Meadow Ln, Unit 25, Colton, CA 92324 Phone: 434-834-6474 |