| Revital Duer, PT | |
|
3366 E Thousand Oaks Blvd, Thousand Oaks, CA 91362-3443 | |
| (805) 374-9900 | |
| (805) 374-9910 |
| Full Name | Revital Duer |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 37 Years |
| Location | 3366 E Thousand Oaks Blvd, Thousand Oaks, California |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194794032 | NPI | - | NPPES |
| OPT301870 | Other | CA | BLUE SHIELD IDENTIFIER |
| ZZZ082282 | Other | CA | BLUE SHIELD GROUP IDENTIF |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT30187 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pro X Physical Therapy Pc | 0547508467 | 4 |
| Provider Name | Pro X Physical Therapy Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1518441849 PECOS PAC ID: 0547508467 Enrollment ID: O20190218002953 |
| Mailing Address | Practice Location Address |
|---|---|
| Revital Duer, PT 3366 E Thousand Oaks Blvd, Thousand Oaks, CA 91362-3443 Ph: (805) 374-9900 | Revital Duer, PT 3366 E Thousand Oaks Blvd, Thousand Oaks, CA 91362-3443 Ph: (805) 374-9900 |
Andrea C Gutierrez, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 325 Rolling Oaks Drive, Suite 210, Thousand Oaks, CA 91361 Phone: 805-446-3141 | |
Jessica 'autumn' L Kramer, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 550 Saint Charles Dr Ste 100, Thousand Oaks, CA 91360 Phone: 805-777-1023 Fax: 888-506-7977 | |
Dr. Andrew Joseph Morales, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 696 Hampshire Rd Ste 210, Thousand Oaks, CA 91361 Phone: 805-777-7370 Fax: 805-777-7380 | |
Derik Khosrovian, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 425 Lombard St, Thousand Oaks, CA 91360 Phone: 805-494-4145 | |
Challenge Physical Therapy Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 911 Vivian Cir, Thousand Oaks, CA 91320 Phone: 805-777-7172 Fax: 805-499-7033 | |
Cara Rademaker, MPT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 550 Saint Charles Dr, Suite #100, Thousand Oaks, CA 91360 Phone: 805-777-1023 Fax: 805-777-3496 | |
Allison Meyer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 375 Rolling Oaks Dr Ste 210, Thousand Oaks, CA 91361 Phone: 805-497-7015 |