Jennifer A Wagenbach, | |
177 Vulcan Dr, Lompoc, CA 93436-1406 | |
(805) 733-7500 | |
(805) 733-7510 |
Full Name | Jennifer A Wagenbach |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 177 Vulcan Dr, Lompoc, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851633259 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT 38348 (California) | Primary |
Provider Name | Rp Medical Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1982094652 PECOS PAC ID: 3779877485 Enrollment ID: O20160803001405 |
Mailing Address | Practice Location Address |
---|---|
Jennifer A Wagenbach, 177 Vulcan Dr, Lompoc, CA 93436-1406 Ph: (805) 733-7500 | Jennifer A Wagenbach, 177 Vulcan Dr, Lompoc, CA 93436-1406 Ph: (805) 733-7500 |
Jeremy Mitchell, Physical Therapist Medicare: Medicare Enrolled Practice Location: 805 E Walnut Ave, Lompoc, CA 93436 Phone: 805-735-3714 | |
Juanita L. Carnahan, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 805 E Walnut Ave, Lompoc, CA 93436 Phone: 805-735-3714 Fax: 805-736-6392 | |
Carnahan Therapy/the Work Center, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 805 E Walnut Ave, Lompoc, CA 93436 Phone: 805-735-3714 Fax: 805-736-6392 | |
Kaylee Jarvis, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1225 N H St, Lompoc, CA 93436 Phone: 805-737-8700 | |
Timothy A. Marozick, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1225 N H St, Lompoc, CA 93436 Phone: 805-681-1761 Fax: 805-681-1768 | |
Meaghan O'leary, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 805 E Walnut Ave, Lompoc, CA 93436 Phone: 805-735-3714 | |
Mrs. Danielle Theone Wiswall, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 177 Vulcan Dr, Lompoc, CA 93436 Phone: 805-733-7500 Fax: 805-733-7510 |