| Mr Todd Manning Tanner, MSPT | |
|
975 Sereno Dr, Vallejo, CA 94589-2441 | |
| (707) 651-3880 | |
| Not Available |
| Full Name | Mr Todd Manning Tanner |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist - Neurology |
| Location | 975 Sereno Dr, Vallejo, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225192453 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251N0400X | Physical Therapist - Neurology | 26860 (California) | Primary |
| Provider Name | Permanente Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Todd Manning Tanner, MSPT 975 Sereno Dr, Vallejo, CA 94589-2441 Ph: (707) 651-3880 | Mr Todd Manning Tanner, MSPT 975 Sereno Dr, Vallejo, CA 94589-2441 Ph: (707) 651-3880 |
Dawnielle Owens Vargas, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 47 Michigan St, Vallejo, CA 94590 Phone: 707-315-3761 | |
Mr. Peter B Tan, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 765 Sereno Dr, Vallejo, CA 94589 Phone: 707-648-3144 Fax: 707-644-0630 | |
Pat Regan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-4755 | |
Cristen Clark, Physical Therapist Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-4256 | |
Jeremy Allen Jackson, Physical Therapist Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-4863 | |
Jeannie Kim, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-4428 | |
Alex Braich, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 |