Laurel Doremus, PT | |
46 Trinity Dr, Novato, CA 94947-5245 | |
(415) 847-2097 | |
(415) 893-9931 |
Full Name | Laurel Doremus |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 46 Trinity Dr, Novato, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407930464 | NPI | - | NPPES |
PT19614 | Other | CA | MEDICARE PIN NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT19614 (California) | Primary |
Provider Name | Sand Coast Rehab Physical Therapy Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1639766603 PECOS PAC ID: 7315352911 Enrollment ID: O20210211003128 |
Mailing Address | Practice Location Address |
---|---|
Laurel Doremus, PT 115 Ridge Rd, Fairfax, CA 94930-1975 Ph: (415) 233-0933 | Laurel Doremus, PT 46 Trinity Dr, Novato, CA 94947-5245 Ph: (415) 847-2097 |
Ole Christian Borgesen, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 165 Rowland Way, Suite 101, Novato, CA 94945 Phone: 415-898-1311 Fax: 415-897-0741 | |
Jaclynn Mcneill, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 607 Louise Ave, Novato, CA 94947 Phone: 415-652-8950 | |
Miss Ping Wu, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7200 Redwood Blvd, Suite 200, Novato, CA 94945 Phone: 415-847-2333 | |
Ms. Lisa Dian Paradiso, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 165 Rowland Way, Suite 101, Novato, CA 94945 Phone: 415-898-1311 | |
Novato Back Care And Sports Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 165 Rowland Way, Suite 101, Novato, CA 94945 Phone: 415-898-1311 Fax: 415-897-0741 | |
Lorraine Andrews Roller, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7200 Redwood Blvd, #200, Novato, CA 94945 Phone: 415-893-4143 | |
Starburst Therapy Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 18 Commercial Blvd, Novato, CA 94949 Phone: 415-320-1329 Fax: 415-729-1780 |