Adam Robert Pavlovich, PT | |
1245 San Pablo Dr, San Marcos, CA 92078-4816 | |
(607) 341-2479 | |
Not Available |
Full Name | Adam Robert Pavlovich |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 7 Years |
Location | 1245 San Pablo Dr, San Marcos, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992260632 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 296220 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Soma Physical Therapy Inc | 4385002781 | 2 |
Provider Name | Soma Physical Therapy Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1801548409 PECOS PAC ID: 4385002781 Enrollment ID: O20230616000447 |
Mailing Address | Practice Location Address |
---|---|
Adam Robert Pavlovich, PT 1245 San Pablo Dr, San Marcos, CA 92078-4816 Ph: (607) 341-2479 | Adam Robert Pavlovich, PT 1245 San Pablo Dr, San Marcos, CA 92078-4816 Ph: (607) 341-2479 |
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