Mitchell Mckinley, | |
3097 Moorpark Ave Ste 100, San Jose, CA 95128-2543 | |
(669) 247-6170 | |
Not Available |
Full Name | Mitchell Mckinley |
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Gender | Male |
Speciality | Physical Therapist |
Location | 3097 Moorpark Ave Ste 100, San Jose, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740007806 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (California) | Primary |
Provider Name | Eugene Physical Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1992796452 PECOS PAC ID: 0345221065 Enrollment ID: O20040527001391 |
Mailing Address | Practice Location Address |
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Mitchell Mckinley, 1410 Oak St Ste 100, Eugene, OR 97401-4668 Ph: () - | Mitchell Mckinley, 3097 Moorpark Ave Ste 100, San Jose, CA 95128-2543 Ph: (669) 247-6170 |
Mrs. Joanne Delosreyes Pho, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 250 Hospital Pkwy, San Jose, CA 95119 Phone: 408-972-7236 | |
Dr. Robert Myles Noakes, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4205 San Felipe Rd, Suite 100, San Jose, CA 95135 Phone: 408-238-1552 Fax: 408-238-1552 | |
Ms. Mary Claire Tolentino, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4019 Gold Run, San Jose, CA 95136 Phone: 408-416-7464 | |
Thomas Alec Sa, Physical Therapist Medicare: Medicare Enrolled Practice Location: 250 Hospital Pkwy, San Jose, CA 95119 Phone: 408-972-6400 | |
Mrs. Linda L Katzman, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1624 E Capitol Expy, San Jose, CA 95121 Phone: 408-270-2280 Fax: 408-270-1902 | |
Katherine Susan Casto, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 270 International Cir, San Jose, CA 95119 Phone: 408-972-6400 Fax: 408-972-6415 | |
Nguyen Khoi Tran Do, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4205 San Felipe Rd, Ste 100, San Jose, CA 95135 Phone: 408-238-1552 Fax: 408-238-1552 |