Emily Renae Bondarenko, | |
6833 Fallbrook Ave, West Hills, CA 91307-2511 | |
(877) 550-7804 | |
Not Available |
Full Name | Emily Renae Bondarenko |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 3 Years |
Location | 6833 Fallbrook Ave, West Hills, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821766643 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT300729 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Orthopaedic And Neurological Rehab Inc | 6507159126 | 469 |
Provider Name | Orthopaedic And Neurological Rehab Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1225496540 PECOS PAC ID: 6507159126 Enrollment ID: O20160720000431 |
Mailing Address | Practice Location Address |
---|---|
Emily Renae Bondarenko, 11471 Tampa Ave Unit 151, Northridge, CA 91326-1783 Ph: (605) 760-0984 | Emily Renae Bondarenko, 6833 Fallbrook Ave, West Hills, CA 91307-2511 Ph: (877) 550-7804 |
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