Advantage Physical Therapy | |
24551 Raymond Way Ste 265, Lake Forest, CA 92630-4478 | |
(949) 305-8200 | |
Not Available |
Full Name | Advantage Physical Therapy |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 24551 Raymond Way Ste 265, Lake Forest, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689716128 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT13853 (California) | Primary |
Provider Name | Jacqueline Sue Maroun |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1053369843 PECOS PAC ID: 1355323767 Enrollment ID: I20040601000901 |
Mailing Address | Practice Location Address |
---|---|
Advantage Physical Therapy 22865 Loumont Dr, Lake Forest, CA 92630-3936 Ph: (949) 584-6121 | Advantage Physical Therapy 24551 Raymond Way Ste 265, Lake Forest, CA 92630-4478 Ph: (949) 305-8200 |
Ryan Michael Somers, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22772 Centre Dr Ste 100, Lake Forest, CA 92630 Phone: 949-955-9499 | |
Mark Eugene Wegener, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 23832 Rockfield Blvd Ste 160, Lake Forest, CA 92630 Phone: 949-465-9500 Fax: 949-465-9506 | |
Brian Gunzelman, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 24301 Muirlands Blvd, Suite T, Lake Forest, CA 92630 Phone: 949-271-0012 Fax: 949-271-0013 | |
Jacqueline Sue Maroun, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 24551 Raymond Way, #265, Lake Forest, CA 92630 Phone: 949-305-8200 Fax: 949-305-2211 | |
Christina Hui-i Yu, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 24301 Muirlands Blvd., Suite T, Lake Forest, CA 92630 Phone: 949-271-0012 Fax: 949-271-0013 | |
Michele Blanscet, P.T.A. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25172 Pizarro Rd, Lake Forest, CA 92630 Phone: 949-951-2770 Fax: 949-951-2976 | |