| Mary Douglas Fortin, | |
|
710 Lawerence Expressway, Dept.174, Santa Clara, CA 95051 | |
| (408) 851-1495 | |
| (408) 851-1499 |
| Full Name | Mary Douglas Fortin |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist - Pediatrics |
| Location | 710 Lawerence Expressway, Dept.174, Santa Clara, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215091947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251P0200X | Physical Therapist - Pediatrics | PT10606 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Douglas Fortin, 5305 Alan Ave, San Jose, CA 95124-5720 Ph: (408) 266-6279 | Mary Douglas Fortin, 710 Lawerence Expressway, Dept.174, Santa Clara, CA 95051 Ph: (408) 851-1495 |
Mrs. Bridget M. Bouyssounouse, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Dept. #174, Santa Clara, CA 95051 Phone: 408-851-1466 | |
Karissa Taan, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1492 | |
Darlene Alexandria Remo Villatuya, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 710 Lawrence Expy Dept 174, Santa Clara, CA 95051 Phone: 408-851-1400 | |
Chelsea Bendebel, Physical Therapist Medicare: Medicare Enrolled Practice Location: 900 Lafayette St Ste 105, Santa Clara, CA 95050 Phone: 408-293-7794 | |
Dr. James Purayampallil Gipson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1026 Monroe St, Santa Clara, CA 95050 Phone: 408-246-5861 | |
Brooke Noelle Strishock, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 710 Lawrence Expy, Dept 174, Santa Clara, CA 95051 Phone: 408-851-4000 | |
Linda Trinh, Physical Therapist Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1400 |