| Tiffany Lorraine Waniczek-nowicki, | |
|
200 E Del Mar Blvd Ste 302, Pasadena, CA 91105-2552 | |
| (626) 683-8536 | |
| Not Available |
| Full Name | Tiffany Lorraine Waniczek-nowicki |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 200 E Del Mar Blvd Ste 302, Pasadena, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013491117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 295589 (California) | Primary |
| Provider Name | Evergreen Physical Therapy Specialists Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1346300670 PECOS PAC ID: 9537111745 Enrollment ID: O20050216000414 |
| Provider Name | New Life Physical Therapy Services PC |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1285160788 PECOS PAC ID: 7214207125 Enrollment ID: O20170726001800 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany Lorraine Waniczek-nowicki, 200 E Del Mar Blvd Ste 302, Pasadena, CA 91105-2552 Ph: Not Available | Tiffany Lorraine Waniczek-nowicki, 200 E Del Mar Blvd Ste 302, Pasadena, CA 91105-2552 Ph: (626) 683-8536 |
Jamie To, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2 N Lake Ave # 500, Pasadena, CA 91101 Phone: 626-481-6499 |
Stephany Tritt, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 95 N Marengo Ave, Pasadena, CA 91101 Phone: 626-776-0075 |
Trenton Nakama, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1224 E Green St Fl 2, Pasadena, CA 91106 Phone: 626-356-4948 |
Patrick Hong Lok Luo, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 257 S Fair Oaks Ave Ste 120, Pasadena, CA 91105 Phone: 626-585-1345 |
Vincent Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2615 E Washington Blvd, Pasadena, CA 91107 Phone: 626-798-5074 Fax: 626-798-3210 |
Andrew Cotham, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 50 Alessandro Pl, Suite A40, Pasadena, CA 91105 Phone: 323-401-1935 |
Dr. Cameron Michael Hofer, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 S Raymond Ave, Pasadena, CA 91105 Phone: 626-356-0599 |