| Rina Utami Gondokusumo, | |
|
619 E Blithedale Ave, Mill Valley, CA 94941-1482 | |
| (415) 388-5223 | |
| Not Available |
| Full Name | Rina Utami Gondokusumo |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 619 E Blithedale Ave, Mill Valley, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407275738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 41178 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Rina Utami Gondokusumo, 301 Mission St Unit 31d, San Francisco, CA 94105-6653 Ph: () - | Rina Utami Gondokusumo, 619 E Blithedale Ave, Mill Valley, CA 94941-1482 Ph: (415) 388-5223 |
Tammara J Moore, DPT, OCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Shoreline Hwy Ste 210a, Mill Valley, CA 94941 Phone: 415-729-0441 | |
Physical Medicine Ctr Of Marin, A Pt Corp. Physical Therapist Medicare: Medicare Enrolled Practice Location: 33 Miller Ave, Mill Valley, CA 94941 Phone: 415-380-9242 Fax: 415-388-7458 | |
Mrs. Brigitte G. Mcfadden, M.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 40 Camino Alto, Mill Valley, CA 94941 Phone: 415-383-2741 Fax: 415-383-4379 | |
Erin Elizabeth Fitzpatrick, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 591 Redwood Hwy Frontage Rd Ste 2235, Mill Valley, CA 94941 Phone: 415-381-8707 | |
Lisa Sharon Iacovelli, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 33 Miller Avenue, Mill Valley, CA 94941 Phone: 415-380-9242 Fax: 415-388-7458 |