| Marilou Tabaranza Menor, PT | |
|
312 W J St, Los Banos, CA 93635-4073 | |
| (209) 827-6178 | |
| (209) 827-6179 |
| Full Name | Marilou Tabaranza Menor |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 28 Years |
| Location | 312 W J St, Los Banos, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669021028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 297331 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sport And Rehab Physical Therapy Incorporated | 0042350357 | 5 |
| Provider Name | Sport & Rehab Physical Therapy Incorporated |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558512327 PECOS PAC ID: 0042350357 Enrollment ID: O20091217000424 |
| Mailing Address | Practice Location Address |
|---|---|
| Marilou Tabaranza Menor, PT 312 W J St, Los Banos, CA 93635-4073 Ph: (209) 827-6178 | Marilou Tabaranza Menor, PT 312 W J St, Los Banos, CA 93635-4073 Ph: (209) 827-6178 |
Glenn Ernest Fabian, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 312 W J St, Los Banos, CA 93635 Phone: 209-827-6178 | |
Ignacio Protto, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 312 W J St, Los Banos, CA 93635 Phone: 209-827-6178 | |
Neptahli Santarin Parian, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 312 W J St, Los Banos, CA 93635 Phone: 209-827-6178 Fax: 208-827-6179 | |
Susanna Russell, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 312 W J St, Los Banos, CA 93635 Phone: 209-827-6178 Fax: 209-827-6179 | |
Yashesh Goradia, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 312 W J St, Los Banos, CA 93635 Phone: 209-827-6178 Fax: 301-278-9852 | |
Raymond Bradley Dunne, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 285 Mercey Springs Rd, Suite A, Los Banos, CA 93635 Phone: 209-829-0444 Fax: 209-829-0445 | |
Mr. Scott Kevin Russell, M.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 312 W J St, Los Banos, CA 93635 Phone: 209-827-6178 Fax: 209-827-6179 |