| Laura Marie Correll, PT | |
|
1340 Lake Blvd, Davis, CA 95616-5673 | |
| (530) 753-5338 | |
| (530) 753-4609 |
| Full Name | Laura Marie Correll |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1340 Lake Blvd, Davis, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275711632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT26554 (California) | Primary |
| 225100000X | Physical Therapist | 26554 (California) | Secondary |
| Provider Name | Burger Physical Therapy Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1356352082 PECOS PAC ID: 8921019746 Enrollment ID: O20060508001012 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Marie Correll, PT Po Box 255228, Sacramento, CA 95865-5228 Ph: () - | Laura Marie Correll, PT 1340 Lake Blvd, Davis, CA 95616-5673 Ph: (530) 753-5338 |
Audrey Mott, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2035 Lyndell Ter Ste 200, Davis, CA 95616 Phone: 530-758-2222 | |
Alyssa Borchert, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1500 Shasta Dr Apt 135, Davis, CA 95616 Phone: 808-292-1051 | |
Daniel Martin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3002 Ponteverde Ln, Davis, CA 95618 Phone: 530-758-1508 Fax: 530-758-1508 | |
Jolie Gonzalez, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2035 Lyndell Ter, Suite 200, Davis, CA 95616 Phone: 530-758-2222 | |
Dr. Leigh Quill, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1340 Lake Blvd, Davis, CA 95616 Phone: 530-753-5338 Fax: 530-753-4609 | |
Jennifer Ferguson Rhoads, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1340 Lake Blvd, Davis, CA 95616 Phone: 530-753-5338 Fax: 530-753-4609 | |
Edward T. Barakatt, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1340 Lake Blvd, Davis, CA 95616 Phone: 530-753-5338 Fax: 530-753-4609 |