Mrs Jacqueline Michelle Quinn, MPT | |
169 Lynch Creek Way, Petaluma, CA 94954-2344 | |
(707) 763-0115 | |
Not Available |
Full Name | Mrs Jacqueline Michelle Quinn |
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Gender | Female |
Speciality | Physical Therapist |
Location | 169 Lynch Creek Way, Petaluma, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023071909 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT25800 (California) | Primary |
Provider Name | Petaluma Physical Therapy Associates Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1306933163 PECOS PAC ID: 1456392521 Enrollment ID: O20050518001184 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jacqueline Michelle Quinn, MPT 8421 Honor Pl, Cotati, CA 94931-5356 Ph: (707) 793-9580 | Mrs Jacqueline Michelle Quinn, MPT 169 Lynch Creek Way, Petaluma, CA 94954-2344 Ph: (707) 763-0115 |
Next Level Physical Therapy Performance And Fitness Physical Therapist Medicare: Medicare Enrolled Practice Location: 719 Southpoint Blvd, Suite A, Petaluma, CA 94954 Phone: 707-781-8062 Fax: 707-981-8684 | |
Ms. Lory M Teicheira, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 306 Bassett St, Petaluma, CA 94952 Phone: 707-769-0915 Fax: 707-769-9244 | |
Ms. Lydia E Estevez, P,T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3900 Lakeville Hwy, Petaluma, CA 94954 Phone: 707-765-3628 | |
Michelle Garcia, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1115 B St, Petaluma, CA 94952 Phone: 707-765-3030 | |
Christine O'meara, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1712 Chehalis Dr, Petaluma, CA 94954 Phone: 707-849-9310 | |
Corriene Atup, BSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1108 Ponderosa Dr, Petaluma, CA 94954 Phone: 415-420-9185 |