Jennifer Waidelich, DPT | |
410 E Ave, Coronado, CA 92118 | |
(609) 658-9191 | |
Not Available |
Full Name | Jennifer Waidelich |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 410 E Ave, Coronado, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962921395 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2305211035 (Virginia) | Primary |
225100000X | Physical Therapist | 293722 (California) | Secondary |
Provider Name | Pt2go Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1639636517 PECOS PAC ID: 8921335316 Enrollment ID: O20190807003260 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Waidelich, DPT 2228 Windy Pines Bnd, Virginia Beach, VA 23456-3930 Ph: (609) 658-9191 | Jennifer Waidelich, DPT 410 E Ave, Coronado, CA 92118 Ph: (609) 658-9191 |
Renee Francine Delasalas, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 349 G Ave, Coronado, CA 92118 Phone: 619-665-5466 | |
Elissa Salona, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 250 Prospect Pl, Coronado, CA 92118 Phone: 619-522-3729 | |
Itzel Jimenez, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 D Ave Apt E, Coronado, CA 92118 Phone: 623-433-6498 | |
Kirsten Marshall Wiley, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 842 B Ave, Coronado, CA 92118 Phone: 619-522-0544 | |
Results Rehabilitation Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1224 10th St, Suite 204, Coronado, CA 92118 Phone: 619-437-6450 | |
Grayson Arceo, PT, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1224 10th St Ste 204, Coronado, CA 92118 Phone: 619-437-6450 | |
Water & Sports Physical Therapy, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 120 C Ave, Coronado, CA 92118 Phone: 858-488-3597 Fax: 858-488-3178 |