Olivia Kathleen Barry, PT | |
8074 Yule Tree Ln, Sebastopol, CA 95472-4903 | |
(310) 968-6809 | |
Not Available |
Full Name | Olivia Kathleen Barry |
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Gender | Female |
Speciality | Physical Therapist |
Location | 8074 Yule Tree Ln, Sebastopol, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336473693 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT36227 (California) | Primary |
Provider Name | California Luna Care Physical Therapy Pc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1689162166 PECOS PAC ID: 9638427834 Enrollment ID: O20180803002123 |
Mailing Address | Practice Location Address |
---|---|
Olivia Kathleen Barry, PT 8074 Yule Tree Ln, Sebastopol, CA 95472-4903 Ph: (310) 968-6809 | Olivia Kathleen Barry, PT 8074 Yule Tree Ln, Sebastopol, CA 95472-4903 Ph: (310) 968-6809 |
Paula Tanksley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 130 Petaluma Ave, Ste 2-g, Sebastopol, CA 95472 Phone: 707-888-5093 Fax: 707-222-6572 | |
Teresa L Burk, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 100 Pleasant Hill Ave N, Sebastopol, CA 95472 Phone: 707-829-3282 | |
Kathy Mcconnell, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Pleasant Hill Ave N, Sebastopol, CA 95472 Phone: 707-829-3282 Fax: 707-829-3287 | |
Mrs. Samantha Marie Jacobs, M.S.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 100 Pleasant Hill Ave N, Sebastopol, CA 95472 Phone: 707-829-3282 Fax: 707-829-3287 | |
Elyse Detweiler Mccluskey, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 100 Pleasant Hill Ave N, Sebastopol, CA 95472 Phone: 707-829-3282 Fax: 707-829-3287 | |
Patricia Donovan Martinez, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 100 Pleasant Hill Ave N, Sebastopol, CA 95472 Phone: 707-829-3282 Fax: 707-829-3287 |