Morten Graversen, | |
802 Magnolia Ave Ste 107, Corona, CA 92879-3125 | |
(951) 340-0070 | |
(909) 890-4393 |
Full Name | Morten Graversen |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 802 Magnolia Ave Ste 107, Corona, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831789296 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT299762 (California) | Primary |
Provider Name | United Therapy Network Incorporated |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1669691051 PECOS PAC ID: 9234022369 Enrollment ID: O20050615001046 |
Mailing Address | Practice Location Address |
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Morten Graversen, 1845 Business Center Dr Ste 127, San Bernardino, CA 92408-3434 Ph: (909) 890-9030 | Morten Graversen, 802 Magnolia Ave Ste 107, Corona, CA 92879-3125 Ph: (951) 340-0070 |
Christine Marie Eddow, PT DPT OCS WCS CHT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2815 S Main St, Ste. 205, Corona, CA 92882 Phone: 951-475-1307 Fax: 951-475-1308 | |
Dr. Daphne Fajayan Bantigue, B.S., DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2900 Brunswick Cir, Corona, CA 92879 Phone: 909-762-4443 | |
Dr. Hannah Jona Kitch, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2815 S Main St Ste 205, Corona, CA 92882 Phone: 951-475-1307 | |
Mark Ibrahim, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1120 Viewcrest Ct, Corona, CA 92882 Phone: 347-817-0674 | |
Brian Thio, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 886 Magnolia Ave, Suite 100, Corona, CA 92879 Phone: 951-340-3402 Fax: 951-340-3416 | |
Corona Hills Physical Therapy & Wellness Physical Therapist Medicare: Medicare Enrolled Practice Location: 4300 Green River Rd Ste 114, Corona, CA 92880 Phone: 951-382-4238 Fax: 951-254-9928 | |
Joseph Christian Santiago, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 886 Magnolia Ave, Suite 100, Corona, CA 92879 Phone: 951-340-3402 Fax: 951-340-3416 |