Maverick Physical Therapy P.c. | |
9236 Lapeer Ct, Santee, CA 92071 | |
(616) 889-6894 | |
Not Available |
Full Name | Maverick Physical Therapy P.c. |
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Type | Facility |
Speciality | Physical Therapist |
Location | 9236 Lapeer Ct, Santee, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396234449 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT41485 (California) | Primary |
Provider Name | Mark Adam Frens |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1568871861 PECOS PAC ID: 8123246972 Enrollment ID: I20191203002675 |
Mailing Address | Practice Location Address |
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Maverick Physical Therapy P.c. 9236 Lapeer Ct, Santee, CA 92071 Ph: (616) 889-6894 | Maverick Physical Therapy P.c. 9236 Lapeer Ct, Santee, CA 92071 Ph: (616) 889-6894 |
Mr. Rhad Brown, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8701 Cuyamaca St, Santee, CA 92071 Phone: 619-568-8105 Fax: 619-568-8084 | |
Nicole Loewer, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 9830 Prospect Ave Ste A, Santee, CA 92071 Phone: 619-448-4860 Fax: 619-448-1639 | |
Ivette C Busacco, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9065 Edgemoor Dr, Santee, CA 92071 Phone: 619-956-2849 Fax: 619-956-2914 | |
Amanda Marie Whalen, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8701 Cuyamaca St, Santee, CA 92071 Phone: 619-568-8105 | |
Josielyn Alcazar-bautista, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9715 Hinsdale St, Santee, CA 92071 Phone: 619-618-8019 | |
Norma Khalife Rouillard, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8790 Cuyamaca St, Suite A, Santee, CA 92071 Phone: 619-596-5969 Fax: 619-596-5970 | |
Kaycee Gunion, Physical Therapist Medicare: Medicare Enrolled Practice Location: 9240 Todos Santos Dr, Santee, CA 92071 Phone: 619-415-6954 |