| Mr Jeremy L Fazio, PT | |
|
890 Shasta Ave, Morro Bay, CA 93442-1933 | |
| (805) 772-4325 | |
| (805) 772-2886 |
| Full Name | Mr Jeremy L Fazio |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 890 Shasta Ave, Morro Bay, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699920363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT 33411 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jeremy L Fazio, PT 1106 Walnut St, Suite 110, San Luis Obispo, CA 93401-2416 Ph: (805) 788-0805 | Mr Jeremy L Fazio, PT 890 Shasta Ave, Morro Bay, CA 93442-1933 Ph: (805) 772-4325 |
Marissa Marie Cotroneo, Physical Therapist Medicare: Medicare Enrolled Practice Location: 890 Shasta Ave, Morro Bay, CA 93442 Phone: 805-772-4325 Fax: 805-772-2886 | |
Stephen Kerr, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Quintana Rd, Morro Bay, CA 93442 Phone: 805-772-7358 | |
Lois Boulgarides, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Quintana Rd, Morro Bay, CA 93442 Phone: 805-772-7358 | |
Michael James Williams, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 890 Shasta Ave, Morro Bay, CA 93442 Phone: 805-772-4325 Fax: 805-772-2886 | |
Halie Gordon, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 500 Quintana Rd, Morro Bay, CA 93442 Phone: 805-772-7358 | |
Eric Balash, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 890 Shasta Ave, Morro Bay, CA 93442 Phone: 805-772-4325 Fax: 805-772-2886 | |
Dr. Alec Shahen Andoyan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Quintana Rd, Morro Bay, CA 93442 Phone: 805-772-7358 |