| Katherine Theresa Jean Daughtry, PT | |
|
801 Traeger Ave, Suite 212, San Bruno, CA 94066-3048 | |
| (650) 742-7102 | |
| Not Available |
| Full Name | Katherine Theresa Jean Daughtry |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 801 Traeger Ave, San Bruno, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477602662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT 20728 (California) | Primary |
| Provider Name | Permanente Medical Group Inc |
|---|---|
| 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 |
|---|---|
| Katherine Theresa Jean Daughtry, PT 801 Traeger Ave, San Bruno, CA 94066-3048 Ph: (650) 742-7102 | Katherine Theresa Jean Daughtry, PT 801 Traeger Ave, Suite 212, San Bruno, CA 94066-3048 Ph: (650) 742-7102 |
Dr. April Pasco Fajardo, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 161 Castleton Way, San Bruno, CA 94066 Phone: 650-274-5566 | |
San Mateo County California Children's Services Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1280 Commodore Dr, San Bruno, CA 94066 Phone: 650-312-8929 | |
Rachel Amato, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2600 Fleetwood Dr, San Bruno, CA 94066 Phone: 650-296-4221 | |
Tom Brandt, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 Traeger Ave, San Bruno, CA 94066 Phone: 650-742-2388 | |
Mrs. Patricia Maria Casey, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 801 Traeger Ave, Suite 304, San Bruno, CA 94066 Phone: 650-742-7279 Fax: 650-742-7295 | |
Lesa C Perez, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 801 Traeger Ave Ste 304, San Bruno, CA 94066 Phone: 650-742-2000 Fax: 877-738-4262 | |
Mr. Paul C Yu, P.T Physical Therapist Medicare: Medicare Enrolled Practice Location: 801 Traeger Ave, San Bruno, CA 94066 Phone: 650-742-7110 |