Russell Bonjour, | |
11825 Apple Valley Rd, Apple Valley, CA 92308-9364 | |
(760) 503-7787 | |
Not Available |
Full Name | Russell Bonjour |
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Gender | Male |
Speciality | Physical Therapist |
Location | 11825 Apple Valley Rd, Apple Valley, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013614049 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 21670 (California) | Primary |
Provider Name | Powerback Rehabilitation Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1962001446 PECOS PAC ID: 2365359932 Enrollment ID: O20140731000901 |
Mailing Address | Practice Location Address |
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Russell Bonjour, 6564 Columbine Rd, Oak Hills, CA 92344-0752 Ph: (909) 800-3905 | Russell Bonjour, 11825 Apple Valley Rd, Apple Valley, CA 92308-9364 Ph: (760) 503-7787 |
Dr. Haley Renee Grace, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16008 Kamana Rd Ste 200&202b, Apple Valley, CA 92307 Phone: 760-810-7767 | |
Marjorie Webster, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16008 Kamana Rd Ste 200, Apple Valley, CA 92307 Phone: 760-810-7767 Fax: 760-810-7769 | |
Kavan Muneshbhai Shah, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 19015 Town Center Dr Ste 102, Apple Valley, CA 92308 Phone: 760-961-4240 Fax: 760-961-4705 | |
Audrey Monique Reyes Sese, PT DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 16008 Kamana Rd Ste 200, Apple Valley, CA 92307 Phone: 760-810-7767 Fax: 760-810-7769 | |
Caitlin Mccurley, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 16008 Kamana Rd Ste 200, Apple Valley, CA 92307 Phone: 760-810-7767 Fax: 760-810-7769 | |
Christopher Gorton, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 18805 Bear Valley Rd, Apple Valley, CA 92308 Phone: 760-247-4480 |