Mr Richard John Waldron, PT | |
1099 D Street Suite 105, San Rafael, CA 94901-2839 | |
(415) 532-8395 | |
Not Available |
Full Name | Mr Richard John Waldron |
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Gender | Male |
Speciality | Physical Therapist - Orthopedic |
Location | 1099 D Street Suite 105, San Rafael, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962486464 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT15104 (California) | Secondary |
2251X0800X | Physical Therapist - Orthopedic | PT15104 (California) | Primary |
Provider Name | The Knee Joint Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1346512506 PECOS PAC ID: 7214199926 Enrollment ID: O20120425000526 |
Provider Name | Joint Academy Physical Therapy Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1093379158 PECOS PAC ID: 9335570548 Enrollment ID: O20200501002881 |
Mailing Address | Practice Location Address |
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Mr Richard John Waldron, PT 257 Ethel Ave, Mill Valley, CA 94941-2731 Ph: (415) 302-0456 | Mr Richard John Waldron, PT 1099 D Street Suite 105, San Rafael, CA 94901-2839 Ph: (415) 532-8395 |
Regents Of The University Of California Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4000 Civic Center Dr Ste 206, San Rafael, CA 94903 Phone: 415-353-7598 | |
Leela Satyendra, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4050 Redwood Hwy Ste G, San Rafael, CA 94903 Phone: 415-479-7100 | |
Dr. Rachel Wolfe, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 200 N San Pedro Rd, 3rd Floor, San Rafael, CA 94903 Phone: 415-491-4751 Fax: 415-491-4754 | |
Cale Engelhardt, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2543 | |
Ms. Mary Margaret Schmidt, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 99 Montecillo Rd, San Rafael, CA 94903 Phone: 415-444-2883 | |
Nancy Aduna, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 850 Del Ganado Rd, San Rafael, CA 94903 Phone: 415-479-1209 Fax: 415-446-4476 | |
Julia Sylvie Betchart, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1650 Los Gamos Dr, San Rafael, CA 94903 Phone: 415-444-2000 |