Maria Rossinie Carlos, | |
7447 Sepulveda Blvd, Van Nuys, CA 91405-1631 | |
(818) 787-3400 | |
Not Available |
Full Name | Maria Rossinie Carlos |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 7447 Sepulveda Blvd, Van Nuys, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043608904 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 34563 (California) | Primary |
Provider Name | Powerback Rehabilitation Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1962001446 PECOS PAC ID: 2365359932 Enrollment ID: O20140731000901 |
Mailing Address | Practice Location Address |
---|---|
Maria Rossinie Carlos, 7447 Sepulveda Blvd, Van Nuys, CA 91405-1631 Ph: (818) 787-3400 | Maria Rossinie Carlos, 7447 Sepulveda Blvd, Van Nuys, CA 91405-1631 Ph: (818) 787-3400 |
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