Jeremy Mitchell, | |
805 E Walnut Ave, Lompoc, CA 93436-7027 | |
(805) 735-3714 | |
Not Available |
Full Name | Jeremy Mitchell |
---|---|
Gender | Male |
Speciality | Physical Therapist - Orthopedic |
Location | 805 E Walnut Ave, 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 |
---|---|---|---|
1003215682 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | 10986PT (Arizona) | Primary |
Provider Name | Kenneth D Channer |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1356621536 PECOS PAC ID: 4981878295 Enrollment ID: I20111123000467 |
Mailing Address | Practice Location Address |
---|---|
Jeremy Mitchell, 259 Riverdale Ct Apt 236, Camarillo, CA 93012-7775 Ph: (805) 478-7263 | Jeremy Mitchell, 805 E Walnut Ave, Lompoc, CA 93436-7027 Ph: (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 |