Core Objectives Physical Therapy | |
1625 Aviation Blvd, Redondo Beach, CA 90278-2807 | |
(310) 374-1614 | |
(310) 374-1843 |
Full Name | Core Objectives Physical Therapy |
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Type | Facility |
Speciality | Physical Therapist - Orthopedic |
Location | 1625 Aviation Blvd, Redondo Beach, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912214032 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | PT26401 (California) | Primary |
Provider Name | Kelsea T Brajkovich |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1023529070 PECOS PAC ID: 9234495201 Enrollment ID: I20171107002060 |
Mailing Address | Practice Location Address |
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Core Objectives Physical Therapy Po Box 301, El Segundo, CA 90245-0301 Ph: (310) 374-1614 | Core Objectives Physical Therapy 1625 Aviation Blvd, Redondo Beach, CA 90278-2807 Ph: (310) 374-1614 |
Emily May Varee, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2621 Manhattan Beach Blvd, Redondo Beach, CA 90278 Phone: 310-374-0477 Fax: 310-374-1605 | |
Oliver Severios, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1708 Esplanade Apt 10, Redondo Beach, CA 90277 Phone: 310-423-9293 | |
Kyle Thomas Cabahug, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 520 N Prospect Ave Ste 100, Redondo Beach, CA 90277 Phone: 310-376-9222 | |
Robert Frank Maffucci, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2621 Manhattan Beach Blvd, Redondo Beach, CA 90278 Phone: 310-374-0477 Fax: 310-374-1605 | |
Denise De Garceau, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 520 N Prospect Ave, Suite 100, Redondo Beach, CA 90277 Phone: 310-376-9222 | |
Kelly Lynn Mahoney, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2108 Huntington Ln # A, Redondo Beach, CA 90278 Phone: 310-372-3292 | |
Mrs. Julie Orsi Reynolds-gillespie, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 312 S Catalina Ave Ste E, Redondo Beach, CA 90277 Phone: 424-353-9791 |