Caitlynn Fernane, | |
5000 Airport Plaza Dr Ste 240, Long Beach, CA 90815-1277 | |
(562) 421-7635 | |
Not Available |
Full Name | Caitlynn Fernane |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 5000 Airport Plaza Dr Ste 240, Long Beach, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750143822 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 305034 (California) | Primary |
Provider Name | Select Cs Physical Therapy Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1043894090 PECOS PAC ID: 1355742081 Enrollment ID: O20210701000787 |
Mailing Address | Practice Location Address |
---|---|
Caitlynn Fernane, 2288 1/2 Stearnlee Ave, Long Beach, CA 90815-1933 Ph: () - | Caitlynn Fernane, 5000 Airport Plaza Dr Ste 240, Long Beach, CA 90815-1277 Ph: (562) 421-7635 |
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