Genene Lara, | |
271 Five Cities Dr, Pismo Beach, CA 93449-3009 | |
(805) 473-7499 | |
Not Available |
Full Name | Genene Lara |
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Gender | Female |
Speciality | Physical Therapist |
Location | 271 Five Cities Dr, Pismo Beach, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417647561 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 304074 (California) | Primary |
Provider Name | Physical Therapy Specialists Pts Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1760793236 PECOS PAC ID: 0143357517 Enrollment ID: O20100602000200 |
Mailing Address | Practice Location Address |
---|---|
Genene Lara, Po Box 2638, Pismo Beach, CA 93448-2638 Ph: (805) 473-7499 | Genene Lara, 271 Five Cities Dr, Pismo Beach, CA 93449-3009 Ph: (805) 473-7499 |
Andrew Rodriguez, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 901 Oak Park Blvd Ste 102, Pismo Beach, CA 93449 Phone: 805-481-8272 | |
Charles Alden Barstow Jr., MPT,OCS, COMT, CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 271 Five Cities Dr, Pismo Beach, CA 93449 Phone: 805-473-7499 Fax: 805-473-7494 | |
Joanne Marie Hatcher, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 271 Five Cities Dr, Pismo Beach, CA 93449 Phone: 805-473-7499 Fax: 805-473-7494 | |
Louis Dominic Moscardi, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 911 Oak Park Blvd Ste 105, Pismo Beach, CA 93449 Phone: 805-481-8272 Fax: 805-481-8045 | |
Donald Lee Zimmerman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 Five Cities Dr Spc 56, Pismo Beach, CA 93449 Phone: 805-773-2405 | |
Paul Lyle Manosar, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 901 Oak Park Blvd, Suite 102, Pismo Beach, CA 93449 Phone: 805-481-8272 Fax: 805-481-8045 |