Jordan Mason, DPT | |
7826 Broadway, Lemon Grove, CA 91945-1801 | |
(619) 876-4420 | |
Not Available |
Full Name | Jordan Mason |
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Gender | Female |
Speciality | Physical Therapist |
Location | 7826 Broadway, Lemon Grove, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619670957 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 302333 (California) | Primary |
Provider Name | Family Health Centers Of San Diego, Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1447281936 PECOS PAC ID: 3476446378 Enrollment ID: O20040204000923 |
Mailing Address | Practice Location Address |
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Jordan Mason, DPT 11937 Royal Rd Unit C, El Cajon, CA 92021-1362 Ph: (619) 325-9477 | Jordan Mason, DPT 7826 Broadway, Lemon Grove, CA 91945-1801 Ph: (619) 876-4420 |
Kasey Rae Tolbert, DPT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7922 Palm St, Lemon Grove, CA 91945 Phone: 619-644-1000 | |
Carlos Fabian Ontiveros, Physical Therapist Medicare: Medicare Enrolled Practice Location: 7826 Broadway, Lemon Grove, CA 91945 Phone: 619-876-4420 | |
Therapy Specialists Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2211 Massachusetts Ave, Lemon Grove, CA 91945 Phone: 619-698-0903 |