| Physical Medicine Ctr Of Marin, A Pt Corp. | |
|
33 Miller Ave, Mill Valley, CA 94941-1903 | |
| (415) 380-9242 | |
| (415) 388-7458 |
| Full Name | Physical Medicine Ctr Of Marin, A Pt Corp. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 33 Miller Ave, Mill Valley, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013176775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Michael J Iacovelli |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831200872 PECOS PAC ID: 6608069729 Enrollment ID: I20101021000894 |
| Provider Name | Lisa Sharon Iacovelli |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093826026 PECOS PAC ID: 4082870456 Enrollment ID: I20120730000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Physical Medicine Ctr Of Marin, A Pt Corp. 33 Miller Ave, Mill Valley, CA 94941-1903 Ph: (415) 380-9242 | Physical Medicine Ctr Of Marin, A Pt Corp. 33 Miller Ave, Mill Valley, CA 94941-1903 Ph: (415) 380-9242 |
Mill Valley Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 619 E Blithedale Ave, Bldg. B, Mill Valley, CA 94941 Phone: 415-388-5223 Fax: 415-388-5270 | |
Justin Newcomer, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 421 Miller Ave, Mill Valley, CA 94941 Phone: 415-388-8166 | |
Mrs. Brigitte G. Mcfadden, M.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 40 Camino Alto, Mill Valley, CA 94941 Phone: 415-383-2741 Fax: 415-383-4379 | |
Mill Valley Physical Therapy And Sports Rehabiliation Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 619 E Blithedale Ave, Suite B, Mill Valley, CA 94941 Phone: 415-388-5223 Fax: 415-388-5270 | |
Erin Elizabeth Fitzpatrick, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 591 Redwood Hwy Frontage Rd Ste 2235, Mill Valley, CA 94941 Phone: 415-381-8707 | |
Lisa Sharon Iacovelli, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 33 Miller Avenue, Mill Valley, CA 94941 Phone: 415-380-9242 Fax: 415-388-7458 |