| Raven-l Inc. | |
|
1962 Milan Ave, South Pasadena, CA 91030-4635 | |
| (626) 441-3124 | |
| (626) 441-3124 |
| Full Name | Raven-l Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1962 Milan Ave, South Pasadena, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801175377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT 14400 (California) | Primary |
| 225200000X | Physical Therapy Assistant | AT644 (California) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Raven-l Inc. 1962 Milan Ave, South Pasadena, CA 91030-4635 Ph: (626) 441-3124 | Raven-l Inc. 1962 Milan Ave, South Pasadena, CA 91030-4635 Ph: (626) 441-3124 |
Carole Adel Beblawi, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 538 Mission St, South Pasadena, CA 91030 Phone: 626-403-1444 Fax: 626-628-3905 | |
Ms. Nicole Marie Vandevelde Cozby, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1605 Hope St, Suite 100, South Pasadena, CA 91030 Phone: 818-731-3447 | |
Connor Pendleton, Physical Therapist Medicare: Medicare Enrolled Practice Location: 625 Fair Oaks Ave Ste 255, South Pasadena, CA 91030 Phone: 626-737-6735 | |
Andrius Polikaitis, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1020 Mission St Unit A, South Pasadena, CA 91030 Phone: 714-557-9292 | |
Marisol Dakan, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1605 Hope St Ste 100, South Pasadena, CA 91030 Phone: 626-737-6735 | |
Forte Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 920 Lohman Ln, South Pasadena, CA 91030 Phone: 310-384-5130 | |
Chantal Lyne Donnelly, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1942 Huntington Dr, South Pasadena, CA 91030 Phone: 626-403-6545 Fax: 626-441-7660 |