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12630 Monte Vista Rd, Suite 101, Poway, CA 92064-2530 | |
(858) 485-7103 | |
(858) 485-7107 |
Full Name | |
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Type | Facility |
Speciality | Physical Therapist |
Location | 12630 Monte Vista Rd, Poway, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1952310583 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | PT14997 (California) | Primary |
Provider Name | Mary P Hall |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1154330496 PECOS PAC ID: 4789609967 Enrollment ID: I20051007000539 |
Mailing Address | Practice Location Address |
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12630 Monte Vista Rd, Suite 101, Poway, CA 92064-2530 Ph: (858) 485-7103 | 12630 Monte Vista Rd, Suite 101, Poway, CA 92064-2530 Ph: (858) 485-7103 |
Mr. David Jamea Lokey, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13004 Tuscarora Dr, Poway, CA 92064 Phone: 858-869-7008 | |
Oriana Chan, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15525 Pomerado Rd Ste D4, Poway, CA 92064 Phone: 858-674-1600 | |
Sarah Keller Milot, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12515 Springhurst Dr, Poway, CA 99206 Phone: 858-391-9160 | |
Cpte Physical Therapy Professional Corporation Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15525 Pomerado Rd, Ste D4, Poway, CA 92064 Phone: 858-485-0050 Fax: 858-485-0436 | |
Alma Garcia, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12696 Monte Vista Rd, Poway, CA 92064 Phone: 858-487-6242 | |
Aaron Alexander, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12648 Poway Rd, Poway, CA 92064 Phone: 858-375-9680 Fax: 858-375-1999 | |
Miss Kristen M. Hayes, M.S.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 15525 Pomerado Rd, Suite D-4, Poway, CA 92064 Phone: 858-485-0050 Fax: 858-485-9510 |