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5927 Kanan Road, Agoura Hills, CA 91301-1688 | |
| (818) 889-0158 | |
| (818) 889-4708 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 5927 Kanan Road, Agoura Hills, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679694798 | NPI | - | NPPES |
| 7126624 | Other | AETNA INS CO | |
| PT176710 | Other | BLUE SHIELD OF CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT17671 (California) | Primary |
| Provider Name | Michele A Zeolla |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114053519 PECOS PAC ID: 3577647635 Enrollment ID: I20080227000750 |
| Provider Name | Francis J Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962506071 PECOS PAC ID: 9537348974 Enrollment ID: I20140812002635 |
| Provider Name | Mark Tiedeman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730478066 PECOS PAC ID: 4082994116 Enrollment ID: I20161207002413 |
| Provider Name | Nicole J Dubreuil |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629786629 PECOS PAC ID: 9436523321 Enrollment ID: I20230315002515 |
| Mailing Address | Practice Location Address |
|---|---|
5927 Kanan Road, Agoura Hills, CA 91301-1688 Ph: (818) 889-0158 | 5927 Kanan Road, Agoura Hills, CA 91301-1688 Ph: (818) 889-0158 |
A5 Physical Therapy Services Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 29219 Canwood St # 107, Agoura Hills, CA 91301 Phone: 617-605-0295 | |
A5 Physical Therapy Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 29219 Canwood St Unit 107, Agoura Hills, CA 91301 Phone: 818-914-7559 Fax: 818-914-7560 | |
Mrs. Michele Alden Zeolla, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5927 Kanan Road, Agoura Hills, CA 91301 Phone: 818-889-0158 Fax: 818-889-4708 | |
Lianne Elizabeth Messier, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 30135 Agoura Rd, Suite C, Agoura Hills, CA 91301 Phone: 818-707-7344 | |
Jacklyn Kokuashvili, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 30851 Agoura Rd Ste 300a, Agoura Hills, CA 91301 Phone: 818-532-7600 | |
Mrs. Anne Hinrichs Malsin, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5236 Colodny Dr, Suite 205, Agoura Hills, CA 91301 Phone: 818-865-8135 Fax: 818-865-1757 |