| Del Mar Village Physical Therapy Inc. | |
|
910 Camino Del Mar Ste G, Del Mar, CA 92014-2800 | |
| (619) 933-2610 | |
| Not Available |
| Full Name | Del Mar Village Physical Therapy Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 910 Camino Del Mar Ste G, Del Mar, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447958350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Kenneth Mauck |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336675289 PECOS PAC ID: 7214300052 Enrollment ID: I20230227001518 |
| Mailing Address | Practice Location Address |
|---|---|
| Del Mar Village Physical Therapy Inc. 13562 Dogwood Way, San Diego, CA 92130-5644 Ph: (619) 933-0044 | Del Mar Village Physical Therapy Inc. 910 Camino Del Mar Ste G, Del Mar, CA 92014-2800 Ph: (619) 933-2610 |
Kayla Frost, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3790 Via De La Valle, Del Mar, CA 92014 Phone: 858-350-6500 | |
Ms. Virginia Genevieve Gamble, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2825 Camino Del Mar, Apt 66, Del Mar, CA 92014 Phone: 310-985-9303 | |
Arianna Robichaux, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12865 Pointe Del Mar Way Ste 190, Del Mar, CA 92014 Phone: 844-316-7979 Fax: 866-813-1235 | |
Shawna Crescenzo, MSPT, OCS, CPI Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 910 Camino Del Mar Ste G, Del Mar, CA 92014 Phone: 858-792-1124 Fax: 858-792-7775 | |
Mr. Matthew S. Walzer, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12865 Pointe Del Mar Way, Suite 200, Del Mar, CA 92014 Phone: 858-535-1894 Fax: 858-535-1863 | |
Mr. Robert Michael Quintas, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 317 14th St, Del Mar, CA 92014 Phone: 858-755-1229 | |
Michael Evan Kastan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2690 Via De La Valle Ste D160, Del Mar, CA 92014 Phone: 858-290-0855 |