Susan Esther Domenech, MPT | |
27620 Landau Blvd, Ste 3, Cathedral City, CA 92234-5540 | |
(760) 322-5090 | |
(760) 322-9175 |
Full Name | Susan Esther Domenech |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 25 Years |
Location | 27620 Landau Blvd, Cathedral City, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437281714 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT26180 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aegis Physical Therapy, Inc. | 7315905189 | 2 |
Provider Name | Aegis Physical Therapy, Inc. |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1477753861 PECOS PAC ID: 7315905189 Enrollment ID: O20041227000423 |
Mailing Address | Practice Location Address |
---|---|
Susan Esther Domenech, MPT 45 Auburn Ct, Redlands, CA 92374-4277 Ph: (909) 794-9570 | Susan Esther Domenech, MPT 27620 Landau Blvd, Ste 3, Cathedral City, CA 92234-5540 Ph: (760) 322-5090 |
Paul Crawford, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 69472 Serenity Rd, Cathedral City, CA 92234 Phone: 760-409-6383 Fax: 866-225-9947 | |
Leonard Merlin Galloway, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 27620 Landau Blvd, Suite 3, Cathedral City, CA 92234 Phone: 760-322-5090 Fax: 760-322-9175 | |
Kristina Thornhill, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 69472 Serenity Rd, Cathedral City, CA 92234 Phone: 760-440-9638 Fax: 866-225-9947 | |
Sophia A Risorto, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 68860 Perez Rd Ste E2, Cathedral City, CA 92234 Phone: 760-770-6651 Fax: 760-770-6651 | |
Kelly Hume, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 27620 Landau Blvd, Ste 3, Cathedral City, CA 92234 Phone: 760-322-5090 Fax: 760-322-9175 | |
Mr. Luke D Gentry, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 35325 Date Palm Dr, Suite 131, Cathedral City, CA 92234 Phone: 760-202-0368 Fax: 760-770-1973 | |
Jan Therese Hocutt, SLP Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 69472 Serenity Rd, Cathedral City, CA 92234 Phone: 760-831-5228 Fax: 866-225-9947 |