Katherine Mae Weaver, PT | |
710 Lawrence Expy, Santa Clara, CA 95051-5173 | |
(408) 851-1000 | |
Not Available |
Full Name | Katherine Mae Weaver |
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Gender | Female |
Speciality | Physical Therapist |
Location | 710 Lawrence Expy, Santa Clara, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245383256 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 26563 (California) | Primary |
Provider Name | Permanente Medical Group Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Katherine Mae Weaver, PT 710 Lawrence Expy, Santa Clara, CA 95051-5173 Ph: (408) 851-1000 | Katherine Mae Weaver, PT 710 Lawrence Expy, Santa Clara, CA 95051-5173 Ph: (408) 851-1000 |
Mrs. Bridget M. Bouyssounouse, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Dept. #174, Santa Clara, CA 95051 Phone: 408-851-1466 | |
Karissa Taan, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1492 | |
Darlene Alexandria Remo Villatuya, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 710 Lawrence Expy Dept 174, Santa Clara, CA 95051 Phone: 408-851-1400 | |
Chelsea Bendebel, Physical Therapist Medicare: Medicare Enrolled Practice Location: 900 Lafayette St Ste 105, Santa Clara, CA 95050 Phone: 408-293-7794 | |
Dr. James Purayampallil Gipson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1026 Monroe St, Santa Clara, CA 95050 Phone: 408-246-5861 | |
Brooke Noelle Strishock, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 710 Lawrence Expy, Dept 174, Santa Clara, CA 95051 Phone: 408-851-4000 | |
Linda Trinh, Physical Therapist Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1400 |