Wellness Tribe Physical Therapy Inc | |
2062 Business Center Dr Ste 140, Irvine, CA 92612-1109 | |
(949) 264-9858 | |
(949) 988-2969 |
Full Name | Wellness Tribe Physical Therapy Inc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 2062 Business Center Dr Ste 140, Irvine, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215689880 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Michael J Russo |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1265737563 PECOS PAC ID: 8022292648 Enrollment ID: I20110406000309 |
Provider Name | Aleksandr Zhidetskiy |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1215474440 PECOS PAC ID: 1850667304 Enrollment ID: I20171027000983 |
Mailing Address | Practice Location Address |
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Wellness Tribe Physical Therapy Inc 2062 Business Center Dr Ste 140, Irvine, CA 92612-1109 Ph: (949) 264-9858 | Wellness Tribe Physical Therapy Inc 2062 Business Center Dr Ste 140, Irvine, CA 92612-1109 Ph: (949) 264-9858 |
Kimberly M. Maclean, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3500 Barranca Pkwy, Suite 220, Irvine, CA 92606 Phone: 949-265-2442 Fax: 949-265-2448 | |
Ms. Luz O Blake, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15715 Rockfield Boulevard, Suite 100, Irvine, CA 92618 Phone: 949-206-9100 Fax: 949-206-1648 | |
Davis Y Koh, DPT, MBA, GCS, CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9080 Irvine Center Dr, Irvine, CA 92618 Phone: 949-540-5641 | |
Par Plus, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 16257 Laguna Canyon Rd, Suite # 150, Irvine, CA 92618 Phone: 949-727-0700 Fax: 949-727-0707 | |
Denise Marie Lane, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4482 Barranca Pkwy Ste 195, Irvine, CA 92604 Phone: 949-679-3337 Fax: 949-679-3336 | |
Matthew Hoang, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 17332 Von Karman Ave Ste 120, Irvine, CA 92614 Phone: 949-861-8600 | |
Shelly A Gadea, Physical Therapist Medicare: Medicare Enrolled Practice Location: 24 Hammond, Unit C, Irvine, CA 92618 Phone: 949-770-6022 Fax: 949-770-7084 |