| East County Water & Sport Physical Therapy | |
|
3515 Sweetwater Springs Blvd, #9, Spring Valley, CA 91978 | |
| (619) 660-8895 | |
| (619) 660-8697 |
| Full Name | East County Water & Sport Physical Therapy |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 3515 Sweetwater Springs Blvd, Spring Valley, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205903861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT15698 (California) | Primary |
| Provider Name | Mary T Deason |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336217603 PECOS PAC ID: 0749242162 Enrollment ID: I20041123001253 |
| Provider Name | Jeanette Barrack |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295940369 PECOS PAC ID: 3870404619 Enrollment ID: I20120328000669 |
| Provider Name | Laura E Kohout |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689944878 PECOS PAC ID: 7214187327 Enrollment ID: I20121026000259 |
| Mailing Address | Practice Location Address |
|---|---|
| East County Water & Sport Physical Therapy 3515 Sweetwater Springs Blvd, #9, Spring Valley, CA 91978 Ph: (619) 660-8895 | East County Water & Sport Physical Therapy 3515 Sweetwater Springs Blvd, #9, Spring Valley, CA 91978 Ph: (619) 660-8895 |
Kevin Robert Bresnahan, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10225 Austin Drive, # 204, Spring Valley, CA 91978 Phone: 619-670-4567 Fax: 619-670-0200 | |
Mc Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2082 Pointe Pkwy, Spring Valley, CA 91978 Phone: 619-838-6158 | |
Mary Therese Deason, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10225 Austin Dr, Suite 106, Spring Valley, CA 91978 Phone: 619-660-8895 Fax: 619-660-8697 | |
Brent Albert Furr, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10225 Austin Dr Ste 204, Spring Valley, CA 91978 Phone: 619-670-4567 | |
Dr. Laura K Hughes, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10783 Jamacha Blvd Ste 7, Spring Valley, CA 91978 Phone: 619-670-1711 Fax: 619-670-1712 | |
Allison Smith, Physical Therapist Medicare: Medicare Enrolled Practice Location: 325 Kempton St, Spring Valley, CA 91977 Phone: 619-479-4790 |