| Lakeport Physical Therapy, Inc. | |
|
381 Lakeport Blvd, Lakeport, CA 95453-5412 | |
| (707) 263-5210 | |
| (707) 263-8045 |
| Full Name | Lakeport Physical Therapy, Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 381 Lakeport Blvd, Lakeport, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386988970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT17230 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeport Physical Therapy, Inc. 381 Lakeport Blvd, Lakeport, CA 95453-5412 Ph: (707) 263-5210 | Lakeport Physical Therapy, Inc. 381 Lakeport Blvd, Lakeport, CA 95453-5412 Ph: (707) 263-5210 |
Mr. Lemuel Campomanes Martin, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1281 Craig Avenue, Lakeport, CA 95453 Phone: 707-263-4564 Fax: 707-263-4572 | |
Aundrea Renee Tyner, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 381 Lakeport Blvd, Lakeport, CA 95453 Phone: 707-263-5210 | |
Matthew J. Garrean, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 1281 Craig Ave, Lakeport, CA 95453 Phone: 707-263-4564 Fax: 707-263-4572 | |
Clear Lake Physical Therapy Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1173 11th Street, Lakeport, CA 95453 Phone: 707-263-1295 Fax: 707-263-1295 | |
Quail Run Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 422 Lakeport Blvd, Lakeport, CA 95453 Phone: 707-263-6845 Fax: 707-263-6451 | |
Mr. Ildefonso Timple Campomanes Iii, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1281 Craig Ave, Lakeport, CA 95453 Phone: 707-263-4564 Fax: 707-263-4572 |