| Danielle Renee Wilson, DPT | |
|
26932 Oso Pkwy Ste 260, Mission Viejo, CA 92691-5810 | |
| (949) 582-0132 | |
| Not Available |
| Full Name | Danielle Renee Wilson |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 26932 Oso Pkwy Ste 260, Mission Viejo, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790559730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 305127 (California) | Primary |
| Provider Name | Prosport Physical Therapy Professionals Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1073170437 PECOS PAC ID: 0749510634 Enrollment ID: O20200304001273 |
| Mailing Address | Practice Location Address |
|---|---|
| Danielle Renee Wilson, DPT 7216 Miramonte, Irvine, CA 92618-4839 Ph: (757) 286-5789 | Danielle Renee Wilson, DPT 26932 Oso Pkwy Ste 260, Mission Viejo, CA 92691-5810 Ph: (949) 582-0132 |
Carlos Alfredo Lavayen, DPT ECS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 26691 Plaza Drive Ste 205, Mission Viejo, CA 92691 Phone: 949-367-1088 Fax: 949-367-1042 | |
Petra S Place, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 25982 Pala, Suite 230, Mission Viejo, CA 92691 Phone: 949-600-8812 | |
Brian Gregory Boone, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 27401 Los Altos, Suite 485, Mission Viejo, CA 92691 Phone: 949-716-3930 | |
Southland Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25565 Jeronimo Rd, Mission Viejo, CA 92691 Phone: 949-627-8800 Fax: 949-627-8801 | |
Jazmin Kan, PT, DPT, CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 25565 Jeronimo Rd, Mission Viejo, CA 92691 Phone: 949-627-8800 | |
Edward Joseph Kearns Iii, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 26561 Aracena Dr, Mission Viejo, CA 92691 Phone: 302-388-3067 | |
Mrs. Laurie Layton Boulware, PT, DPT, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 26921 Crown Valley Pkwy, Suite 120, Mission Viejo, CA 92691 Phone: 949-582-2555 |