Morten Graversen, | |
1850 N Riverside Ave Ste 240, Rialto, CA 92376-8082 | |
(909) 258-2220 | |
(909) 258-2102 |
Full Name | Morten Graversen |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1850 N Riverside Ave Ste 240, Rialto, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831789296 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT299762 (California) | Primary |
Provider Name | United Therapy Network Incorporated |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1669691051 PECOS PAC ID: 9234022369 Enrollment ID: O20050615001046 |
Mailing Address | Practice Location Address |
---|---|
Morten Graversen, 671 Avenida Carmel, Colton, CA 92324-1367 Ph: (510) 364-1277 | Morten Graversen, 1850 N Riverside Ave Ste 240, Rialto, CA 92376-8082 Ph: (909) 258-2220 |
Marissa Chichester, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 224 N Riverside Ave Ste A, Rialto, CA 92376 Phone: 909-873-8369 Fax: 909-873-4975 | |
Victor Eduardo Dennis, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 224 N Riverside Ave Ste A, Rialto, CA 92376 Phone: 951-304-7273 | |
Jeandra S Martin, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1850 N Riverside Ave Ste 240, Rialto, CA 92376 Phone: 909-258-2220 Fax: 909-258-2102 | |
Evermore Therapy Group Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 851 W Foothill Blvd Ste 100, Rialto, CA 92376 Phone: 909-754-0683 | |
Mrs. Flora Mohamed F Shafiee, DPTS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 851 W Foothill Blvd, Rialto, CA 92376 Phone: 909-874-5444 Fax: 909-874-5445 | |
Brooke White, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1850 N Riverside Ave, Rialto, CA 92376 Phone: 909-258-2220 Fax: 909-268-2102 | |
Kyle T Parrish, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 224 N Riverside Ave Ste A, Rialto, CA 92376 Phone: 909-873-8369 Fax: 909-873-4975 |