Marissa Marie Cotroneo, | |
890 Shasta Ave, Morro Bay, CA 93442-1933 | |
(805) 772-4325 | |
(805) 772-2886 |
Full Name | Marissa Marie Cotroneo |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 890 Shasta Ave, Morro Bay, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184348211 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT305757 (California) | Primary |
225100000X | Physical Therapist | 049317 (New York) | Secondary |
Provider Name | Ivyrehab Physical Therapy Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1396799409 PECOS PAC ID: 7012997638 Enrollment ID: O20040723000705 |
Provider Name | Spear Physical And Occupational Therapy, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1063454577 PECOS PAC ID: 6901832112 Enrollment ID: O20050711000390 |
Mailing Address | Practice Location Address |
---|---|
Marissa Marie Cotroneo, 408 Higuera St Ste 200, San Luis Obispo, CA 93401-6135 Ph: (805) 788-0805 | Marissa Marie Cotroneo, 890 Shasta Ave, Morro Bay, CA 93442-1933 Ph: (805) 772-4325 |
Stephen Kerr, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Quintana Rd, Morro Bay, CA 93442 Phone: 805-772-7358 | |
Lois Boulgarides, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Quintana Rd, Morro Bay, CA 93442 Phone: 805-772-7358 | |
Michael James Williams, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 890 Shasta Ave, Morro Bay, CA 93442 Phone: 805-772-4325 Fax: 805-772-2886 | |
Halie Gordon, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 500 Quintana Rd, Morro Bay, CA 93442 Phone: 805-772-7358 | |
Eric Balash, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 890 Shasta Ave, Morro Bay, CA 93442 Phone: 805-772-4325 Fax: 805-772-2886 | |
Dr. Alec Shahen Andoyan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Quintana Rd, Morro Bay, CA 93442 Phone: 805-772-7358 |