| Pacific Physical Therapy Inc. | |
|
121 Boatyard Dr, Ste A, Fort Bragg, CA 95437-5751 | |
| (707) 964-1208 | |
| (707) 964-2269 |
| Full Name | Pacific Physical Therapy Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 121 Boatyard Dr, Fort Bragg, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548264492 | NPI | - | NPPES |
| GPT001030 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Physical Therapy Inc. 121 Boatyard Dr, Ste A, Fort Bragg, CA 95437-5751 Ph: (707) 964-1208 | Pacific Physical Therapy Inc. 121 Boatyard Dr, Ste A, Fort Bragg, CA 95437-5751 Ph: (707) 964-1208 |
Tammy Gail Patrick, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 31500 Winding Way, Fort Bragg, CA 95437 Phone: 707-964-1208 Fax: 707-964-2269 | |
Mr. Larry D Hinson, R.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 18661 Old Coast Hwy, Fort Bragg, CA 95437 Phone: 707-964-5645 Fax: 707-964-6213 | |
Jocelyn Woodason, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 32200 N Harbor Dr Spc 19, Fort Bragg, CA 95437 Phone: 615-651-5365 | |
Mr. Shawn Rueze Hackley, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 501 Cypress St, Fort Bragg, CA 95437 Phone: 707-961-6191 Fax: 707-964-6213 | |
Sheri Lynn White-hackley, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 31740 Cedar St, Fort Bragg, CA 95437 Phone: 707-961-1606 | |
Sarah Wagner, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 121 Boatyard Dr, Fort Bragg, CA 95437 Phone: 707-964-1208 Fax: 707-964-2269 |