Candyce Ann Powell, MPT | |
88 Rowland Way Ste 250, Novato, CA 94945-5062 | |
(415) 898-1311 | |
(415) 897-0741 |
Full Name | Candyce Ann Powell |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 88 Rowland Way Ste 250, Novato, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205886561 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 10998 (Minnesota) | Secondary |
225100000X | Physical Therapist | 24218 (California) | Primary |
Provider Name | Sport & Spine Therapy Of Marin Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1174578199 PECOS PAC ID: 4981617180 Enrollment ID: O20060710000148 |
Mailing Address | Practice Location Address |
---|---|
Candyce Ann Powell, MPT 88 Rowland Way Ste 250, Novato, CA 94945-5062 Ph: (415) 898-1311 | Candyce Ann Powell, MPT 88 Rowland Way Ste 250, Novato, CA 94945-5062 Ph: (415) 898-1311 |
Ole Christian Borgesen, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 165 Rowland Way, Suite 101, Novato, CA 94945 Phone: 415-898-1311 Fax: 415-897-0741 | |
Jaclynn Mcneill, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 607 Louise Ave, Novato, CA 94947 Phone: 415-652-8950 | |
Miss Ping Wu, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7200 Redwood Blvd, Suite 200, Novato, CA 94945 Phone: 415-847-2333 | |
Ms. Lisa Dian Paradiso, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 165 Rowland Way, Suite 101, Novato, CA 94945 Phone: 415-898-1311 | |
Novato Back Care And Sports Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 165 Rowland Way, Suite 101, Novato, CA 94945 Phone: 415-898-1311 Fax: 415-897-0741 | |
Lorraine Andrews Roller, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7200 Redwood Blvd, #200, Novato, CA 94945 Phone: 415-893-4143 | |
Starburst Therapy Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 18 Commercial Blvd, Novato, CA 94949 Phone: 415-320-1329 Fax: 415-729-1780 |