Kaitlin Jensen, DPT | |
1906 Vista Del Lago Dr Ste A, Valley Springs, CA 95252-9700 | |
(209) 780-3985 | |
(209) 222-6182 |
Full Name | Kaitlin Jensen |
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Gender | Female |
Speciality | Physical Therapist |
Location | 1906 Vista Del Lago Dr Ste A, Valley Springs, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730888405 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 303761 (California) | Primary |
Provider Name | Golden Bear Physical Therapy Sports Injury Center Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1811084676 PECOS PAC ID: 2961423082 Enrollment ID: O20051215000812 |
Mailing Address | Practice Location Address |
---|---|
Kaitlin Jensen, DPT 2680 Heney Ln, Valley Springs, CA 95252-9516 Ph: (909) 273-5462 | Kaitlin Jensen, DPT 1906 Vista Del Lago Dr Ste A, Valley Springs, CA 95252-9700 Ph: (209) 780-3985 |
Janet C Helfer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10b Vista Del Lago Dr, Valley Springs, CA 95252 Phone: 209-772-0848 Fax: 209-772-8533 | |
Corinna Van Ness, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1906 Vista Del Lago Dr Ste A, Valley Springs, CA 95252 Phone: 209-584-1007 | |
Pediatric Milestones Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8192 Crotty Way, Valley Springs, CA 95252 Phone: 866-855-5987 Fax: 866-907-2695 | |
Mr. Josiah Lozano, PT,DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1906 Vista Del Lago Dr Ste A, Valley Springs, CA 95252 Phone: 209-584-1007 | |
Mrs. Stephanie Ann Dilliner, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8192 Crotty Way, Valley Springs, CA 95252 Phone: 209-598-0042 |