Nicolette Larosa, DPT | |
69730 Highway 111 Ste 100, Rancho Mirage, CA 92270-2873 | |
(760) 636-5207 | |
(760) 636-5209 |
Full Name | Nicolette Larosa |
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Gender | Female |
Speciality | Physical Therapist |
Location | 69730 Highway 111 Ste 100, Rancho Mirage, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447984232 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 305339 (California) | Primary |
Provider Name | Sports Physical Therapy Occupational Therapy And Rehabilitation Servic |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770540593 PECOS PAC ID: 0446140446 Enrollment ID: O20040315001603 |
Mailing Address | Practice Location Address |
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Nicolette Larosa, DPT 1650 Lyndon Farm Ct Ste 300, Louisville, KY 40223-5005 Ph: (951) 335-9825 | Nicolette Larosa, DPT 69730 Highway 111 Ste 100, Rancho Mirage, CA 92270-2873 Ph: (760) 636-5207 |
Logan Buckner, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270 Phone: 760-340-3911 | |
Cassadie F Gearhart, Physical Therapist Medicare: Medicare Enrolled Practice Location: 35023 Mission Hills Drive Bldg A, Rancho Mirage, CA 92270 Phone: 760-699-7236 | |
Mr. Todd Edward Miner, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 71847 Highway 111, Suite C, Rancho Mirage, CA 92270 Phone: 760-776-1911 Fax: 760-776-4833 | |
Ms. Paige H Larson, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 39000 Bob Hope Dr, Harry And Diane Rinker Bldg, Rancho Mirage, CA 92270 Phone: 760-766-2572 | |
Mr. Gel Arsua, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 72201 Country Club Dr, Rancho Mirage, CA 92270 Phone: 760-340-5999 | |
Dr. Katherine Josephine Sullivan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 194 Loch Lomond Rd, Rancho Mirage, CA 92270 Phone: 626-674-0361 | |
Mrs. Teresa Lynn Flaun, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 39600 Bob Hope Dr, Rancho Mirage, CA 92270 Phone: 760-773-2033 Fax: 760-773-1646 |