Matthew J Garrean, PT | |
1281 Craig Ave, Lakeport, CA 95453-5704 | |
(707) 263-4564 | |
(707) 263-4572 |
Full Name | Matthew J Garrean |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1281 Craig Ave, Lakeport, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184788531 | NPI | - | NPPES |
PT29440 | Other | CA | ST. LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT29440 (California) | Primary |
Provider Name | Rebecca K Street |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1376633198 PECOS PAC ID: 6305738089 Enrollment ID: I20040326001242 |
Mailing Address | Practice Location Address |
---|---|
Matthew J Garrean, PT Po Box 1560, Lakeport, CA 95453-1560 Ph: (707) 263-4564 | Matthew J Garrean, PT 1281 Craig Ave, Lakeport, CA 95453-5704 Ph: (707) 263-4564 |
Mr. Lemuel Campomanes Martin, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1281 Craig Avenue, Lakeport, CA 95453 Phone: 707-263-4564 Fax: 707-263-4572 | |
Aundrea Renee Tyner, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 381 Lakeport Blvd, Lakeport, CA 95453 Phone: 707-263-5210 | |
Clear Lake Physical Therapy Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1173 11th Street, Lakeport, CA 95453 Phone: 707-263-1295 Fax: 707-263-1295 | |
Lakeport Physical Therapy, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 381 Lakeport Blvd, Lakeport, CA 95453 Phone: 707-263-5210 Fax: 707-263-8045 | |
Quail Run Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 422 Lakeport Blvd, Lakeport, CA 95453 Phone: 707-263-6845 Fax: 707-263-6451 |