| Mari Johnson, | |
|
11759 Mount Cambridge Ct, Rancho Cucamonga, CA 91737-7916 | |
| (909) 908-2812 | |
| Not Available |
| Full Name | Mari Johnson |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 11759 Mount Cambridge Ct, Rancho Cucamonga, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497445043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | 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 |
|---|---|
| Mari Johnson, 11759 Mount Cambridge Ct, Rancho Cucamonga, CA 91737-7916 Ph: (909) 908-2812 | Mari Johnson, 11759 Mount Cambridge Ct, Rancho Cucamonga, CA 91737-7916 Ph: (909) 908-2812 |
Dr. Dustin Lee Martin, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7922 Day Creek Blvd Apt 8302, Rancho Cucamonga, CA 91739 Phone: 909-917-7051 |
Nesreen Saad, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9405 Fairway View Pl, Rancho Cucamonga, CA 91730 Phone: 909-481-7345 |
Vazira Mohammed Kanga, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5489 Rutland Ct, Rancho Cucamonga, CA 91739 Phone: 909-262-0559 |
Awston Albiso, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10849 Zinfandel St, Rancho Cucamonga, CA 91737 Phone: 909-965-5530 |
Nichole Marie Rodgers, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9405 Fairway View Pl, Rancho Cucamonga, CA 91730 Phone: 909-481-7345 |
Mrs. Constance Hutchins, PT, DPT, OCS, FAFS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5812 Cousins Pl, Rancho Cucamonga, CA 91737 Phone: 909-206-5682 |
Lisa Faith Sato, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8599 Haven Ave, Ste. 207, Rancho Cucamonga, CA 91730 Phone: 909-948-0411 Fax: 909-948-0511 |